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GENERAL INFORMATION 2018 ICD Implementation On October 1, 2017, the Texas Medicaid & Healthcare Partnership (TMHP) applied the 2018 annual International Classification of Diseases (ICD) updates that are effective for dates of service on or after October 1, 2017. The annual ICD updates include the following: ICD-10 Clinical Modification (ICD-10-CM) ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program. This bulletin is intended to notify providers of program and coding changes related to the 2018 updates for ICD and Current Procedural Terminology (CPT®). All providers are encouraged to review the “General Information” section of this bulletin. Policy updates for a specific program or provider type are discussed in designated sections of the bulletin. Claims Filing The new 2018 ICD diagnosis codes and inpatient hospital surgical procedure codes may be billed beginning October 1, 2017. Important: To avoid fraudulent billing, providers must submit the ICD codes that are most appropriate for the services provided. The ICD-10-PCS procedure codes are inpatient hospital surgical procedure codes and must be submitted, as applicable, only on inpatient hospital claims. Note: For professional and outpatient procedures and services, providers must continue to use the American Medical Association (AMA) Current Procedural Terminology (CPT) Manual and the CMS Health Care Common Procedure Coding System (HCPCS) Manual. ICD-10 Special Bulletin, No. 12 October 2017

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Page 1: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

GENERAL INFORMATION

2018 ICD ImplementationOn October 1, 2017, the Texas Medicaid & Healthcare Partnership (TMHP) applied the 2018 annual International Classification of Diseases (ICD) updates that are effective for dates of service on or after October 1, 2017. The annual ICD updates include the following:

• ICD-10 Clinical Modification (ICD-10-CM)

• ICD-10 Procedure Coding System (ICD-10-PCS)

This combined Special Bulletin includes the ICD updates for Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program. This bulletin is intended to notify providers of program and coding changes related to the 2018 updates for ICD and Current Procedural Terminology (CPT®).

All providers are encouraged to review the “General Information” section of this bulletin. Policy updates for a specific program or provider type are discussed in designated sections of the bulletin.

Claims FilingThe new 2018 ICD diagnosis codes and inpatient hospital surgical procedure codes may be billed beginning October 1, 2017.

Important: To avoid fraudulent billing, providers must submit the ICD codes that are most appropriate for the services provided.

The ICD-10-PCS procedure codes are inpatient hospital surgical procedure codes and must be submitted, as applicable, only on inpatient hospital claims.

Note: For professional and outpatient procedures and services, providers must continue to use the American Medical Association (AMA) Current Procedural Terminology (CPT) Manual and the CMS Health Care Common Procedure Coding System (HCPCS) Manual.

ICD-10Special Bulletin

ICD-10 Special Bulletin, No. 12 October 2017

Page 2: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

IN THIS ISSUE

General Information 1

2018 ICD Implementation ............................................................................... 1Claims Filing ................................................................................................. 1

Medicaid Fee-for-Service and Managed Care Providers 4

Texas Medicaid ICD Updates ............................................................................ 4Texas Medicaid Benefit Changes .......................................................................4Ambulance Services .......................................................................................4Cardiac Rehabilitation .....................................................................................5Colony Stimulating Factors .............................................................................. 5Cytogenetics ................................................................................................. 5Diagnostic Doppler Sonography .......................................................................6Echoencephalography ..................................................................................... 7Evoked Response Tests and Neuromuscular Procedures ...................................... 7Inpatient and Outpatient Behavioral Health........................................................ 7Mental Health Rehabilitative Services................................................................8Mental Health Targeted Case Management ........................................................8Physician Evaluation and Management Services .................................................8Pulmonary Function Studies ............................................................................9Substance Use Disorder Services .....................................................................9Vision Services – Nonsurgical ..........................................................................9Vitamin B12 (Cyanocobalamin) Injections ........................................................ 10

Home Health and Comprehensive Care Program (CCP) Providers 10

Home Health Services Benefit Changes ........................................................... 10Diabetic Equipment and Supplies Home Health ................................................ 10CCP Services Benefit Changes ........................................................................11Blood Pressure Devices – CCP ........................................................................11Nutritional Products - CCP ..............................................................................11

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Use of the AMA’s copyrighted CPT® is allowed in this publication with the following disclosure:

“Current Procedural Terminology (CPT) is copyright 2016 American Medical Association. All rights reserved.

No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no

liability for the data contained herein. Applicable Federal Acquisition Regula tion System/ Defense Federal

Acquisition Regulation Supplement (FARS/DFARS) apply.”

The American Dental Association requires the following copyright notice in all publications containing

Current Dental Terminology (CDT) codes:

“Current Dental Terminology (including procedure codes, nomenclature, descriptors, and other data

contained therein) is copyright © 2016 American Dental Association. All rights reserved. Applicable FARS/

DFARS apply.”

Children With Special Health Care Needs (CSHCN) Services Program Providers 12

CSHCN Services Program Updates ................................................................. 12CSHCN Services Program Benefit Changes ...................................................... 12Ambulance Services ..................................................................................... 12Ambulatory Blood Pressure Monitoring and Devices .......................................... 13Cytogenetics ............................................................................................... 13Diabetic Equipment and Supplies ................................................................... 14Echoencephalography ................................................................................... 14Evoked Response and Neuromuscular Procedures ............................................. 14Expendable Medical Supplies ......................................................................... 15Neurostimulators and Neuromuscular Stimulators ............................................ 15Therapeutic Apheresis .................................................................................. 15Vision Services Nonsurgical ........................................................................... 16

All Code Changes: Added, Revised, and Discontinued 16

2018 ICD Diagnosis Code Additions ................................................................ 16Discontinued Diagnosis Codes ....................................................................... 18Diagnosis Code Description Changes .............................................................. 18

Inpatient Hospital ICD-10-PCS and DRG 20

Inpatient Hospital ICD-10-PCS Surgical Procedure Code and Diagnosis Related Group (DRG) Updates ................................................................................. 20

ICD-10 Special Bulletin, No. 12 3 2017 Texas Medicaid

General Information

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 4: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

MEDICAID FEE-FOR-SERVICE AND MANAGED CARE PROVIDERS

Texas Medicaid ICD UpdatesThe 2018 Internaltional Classification of Diseases (ICD) updates for Texas Medicaid are included in the ICD tables in the All Code Changes: Added, Revised, and Discon-tinued section of this bulletin beginning on page “All Code Changes: Added, Revised, and Discontinued” on page 16. The 2018 ICD deletions and replacements are effective October 1, 2017, for dates of service on or after October 1, 2017, for Texas Medicaid. Providers may refer to the “General Information” section for more information.

Texas Medicaid Benefit Changes

The following Texas Medicaid benefit changes have been made to support the 2018 ICD-CM diagnosis code updates and are effective for dates of service on or after October 1, 2017. For more information, call the Texas Medicaid & Healthcare Partnership (TMHP) Contact Center at 1-800-925-9126.

Note: These changes apply to Texas Medicaid fee-for-service and Medicaid managed care claims and authorization requests that are submitted to TMHP for processing.

The policy articles in this bulletin contain the following information:

• Revised: The description has been revised for these diagnosis codes. Providers may refer to the appropriate copyright holder for the revised descriptions.

• Discontinued: Discontinued diagnosis codes are no longer reimbursed after September 30, 2017.

• Added: Added diagnosis codes are new diagnosis codes added by the Centers for Medicare & Medicaid Services (CMS).

Ambulance Services

The following emergency medical condition codes must be used to identify emergency medical conditions for ambulance transports:

Added Diagnosis CodesR0603 T07XXXA T148XXA T1490XA T1491XADiscontinued Diagnosis CodesT07 T148

An emergency ambulance transport may be reimbursed by Texas Medicaid when it is submitted with modifier ET and one or more emergency medical condition codes.

The requesting facility or physician must include with the claim documentation that describes the clients’ condition which necessitated the ambulance transport. Medicaid recognizes limitations of usual ambulance personnel for establishing a diagnosis, and recognizes coding of a client’s condition using International Classification of Diseases,

ICD-10 Special Bulletin, No. 12 4 2017 Texas Medicaid

Medicaid Fee-For-Service and Managed Care Providers

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 5: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

10th Revision, Clinical Modification (ICD-10-CM) when reporting ambulance transport services may be less specific than for services reported by other professional providers.

Providers who submit ICD-10-CM diagnosis codes should choose the code that best describes the client’s condition at the time of transport. Diagnoses that are “rule out” or “suspected” diagnoses should not be reported using specific ICD-10-CM diagnosis codes. In such instances where a diagnosis is not confirmed, it is more correct to use a symptom, finding, or injury diagnosis code.

Refer to: The current Texas Medicaid Provider Procedures Manual, Ambulance Services Handbook, section 2.2.1 “Emergency Ambulance Transport Services,” for more information.

Cardiac RehabilitationAdded Diagnosis CodesI219 I21A1 I21A9 I2720 I2721 I2722 I2723I2724 I2729 I2783 I50810 I50811 I50812 I50813I50814 I5082 I5083 I5084 I5089

Refer to: The current Texas Medicaid Provider Procedures Manual, Inpatient and Outpa-tient Hospital Services Handbook, section 4.2.6 “Cardiac Rehabilitation,” for more information.

Colony Stimulating Factors

The following diagnosis codes may be reimbursed when submitted with procedure codes J1442, J1447, J2505, J2820, and Q5101:Added Diagnosis CodesC9620 C9621 C9622 C9629 D4701 D4702 D4709Discontinued Diagnosis CodeC962

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, section 9.2.38.38 “Colony Stimulating Factors (Filgrastim, Pegfilgrastim, and Sargramostim),” for more information.

Cytogenetics

The following diagnosis codes may be reimbursed when submitted with procedure codes 88230, 88233, 88235, 88237, 88239, 88245, 88248, 88249, 88261, 88262, 88263, 88264, 88271, 88272, 88273, 88274, 88275, 88280, 88283, 88285, 88289, and 88291:Added Diagnosis CodesP2930 P2938 Q53111 Q53112 Q5313 Q53211 Q53212

ICD-10 Special Bulletin, No. 12 5 2017 Texas Medicaid

Medicaid Fee-For-Service and Managed Care Providers

CPT only copyright 2016 American Medical Association. All rights reserved.

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Added Diagnosis CodesQ5323 Z360 Z361 Z362 Z363 Z364 Z365Z3681 Z3682 Z3683 Z3684 Z3688 Z3689 Z368AZ369Discontinued Diagnosis CodesP293 Q5311 Q5321 Z36

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, section 9.2.39.6 “Cytogenetics Testing,” for more information.

Diagnostic Doppler Sonography

The following diagnosis codes may be reimbursed when submitted with Peripheral Arterial Doppler Studies lower extremity condition procedure codes 93922, 93923, 93924, 93925, and 93926:

Section 3: Additional diagnosis codes for lower extremity conditions (Procedure codes 93922, 93923, 93924, 93925, and 93926)Added Diagnosis CodesL97115 L97116 L97118 L97125 L97126 L97128 L97215L97216 L97218 L97225 L97226 L97228 L97315 L97316L97318 L97325 L97326 L97328 L97415 L97416 L97418L97425 L97426 L97428 L97515 L97516 L97518 L97525L97526 L97528 L97815 L97816 L97818 L97825 L97826L97828 L98415 L98416 K98418 L98425 L98426 L98428

The following diagnosis codes may be reimbursed when submitted with Peripheral Venous Doppler Studies procedure codes 93970 and 93971:Added Diagnosis CodesL97115 L97116 L97118 L97125 L97126 L97128 L97215L97216 L97218 L97225 L97226 L97228 L97315 L97316L97318 L97325 L97326 L97328 L97415 L97416 L97418L97425 L97426 L97428 L97515 L97516 L97518 L97525L97526 L97528 L97815 L97816 L97818 L97825 L97826L97828 L98415 L98416 K98418 L98425 L98426 L98428R0603

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, section 9.2.26 “Diagnostic Doppler Sonography,” for more information.

ICD-10 Special Bulletin, No. 12 6 2017 Texas Medicaid

Medicaid Fee-For-Service and Managed Care Providers

CPT only copyright 2016 American Medical Association. All rights reserved.

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Echoencephalography

The following diagnosis codes may be reimbursed when submitted with procedure code 76506:Added Diagnosis CodesP91811 P91819 P9188Discontinued Diagnosis CodesS061X7D S061X7S S061X8D S061X8S S06307D S06307S S06308DS06308S S06317D S06317S S06318D S06318S S06327D S06327SS06328D S06328S S06337D S06337S S06338D S06338S S06347DS06347S S06348D S06348S S06357D S06357S S06358D S06358SS06367D S06367S S06368D S06368S S06377D S06377S S06378DS06378S S06387D S06387S S06388D S06388S S064X7D S064X7SS064X8D S064X8S S065X7D S065X7S S065X8D S065X8S S066X7DS066X7S S066X8D S066X8S S06897D S06897S S06898D S06898SS069X7D S069X7S S069X8D S069X8S

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, section 9.2.25.5 “Echoencephalography,” for more information.

Evoked Response Tests and Neuromuscular Procedures

The following diagnosis codes may be reimbursed when submitted with electromyog-raphy (EMG) and nerve conduction study (NCS) procedure codes:Added Diagnosis CodesE8581 E8582 E8589 G1223 G1224 G1225 M48062Discontinued Diagnosis CodesE858 M4806

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, section 9.2.27.2 “Electromyography and Nerve Conduction Studies,” for more information.

Inpatient and Outpatient Behavioral Health

The following diagnosis codes may be reimbursed for psychotherapy and psychiatric diagnostic evaluation procedure codes 90791, 90792, 90832, 90833, 90834, 90836, 90837, 90838, 90846, 90847, and 90853:Added Diagnosis CodesF1011 F1111 F1211 F1311 F1411 F1511 F1611F1811 F1911 F5082

ICD-10 Special Bulletin, No. 12 7 2017 Texas Medicaid

Medicaid Fee-For-Service and Managed Care Providers

CPT only copyright 2016 American Medical Association. All rights reserved.

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The following diagnosis codes may be reimbursed for psychological, neurological, and neuropsychological testing procedure codes 96101, 96116, and 96118:Added Diagnosis CodesF1011 F1111 F1211 F1311 F1411 F1511 F1611F1811 F1911 F5082Discontinued Diagnosis CodesS065X7D S065X7S S065X8D S065X8S S06897D S06897S

Refer to: The current Texas Medicaid Provider Procedures Manual, Behavioral Health and Case Management Services Handbook, section 4.1.12 “Services, Benefits, and Limitations,” for more information.

Mental Health Rehabilitative Services

The following diagnosis code may be reimbursed when submitted with mental health rehabilitative services procedure codes H0034, H2012, H2014, and H2017:Added Diagnosis CodeF5082

Refer to: The current Texas Medicaid Provider Procedures Manual, Behavioral Health and Case Management Services Handbook, section 5.2.3 “Mental Health Rehabili-tative Services,” for more information.

Mental Health Targeted Case Management

The following diagnosis code may be reimbursed when submitted with mental health targeted case management procedure code T1017:Added Diagnosis CodeF5082

Refer to: The current Texas Medicaid Provider Procedures Manual, Behavioral Health and Case Management Services Handbook, section 5.2.2 “Mental Health Targeted Case Management (MHTCM),” for more information.

Physician Evaluation and Management Services

The following diagnosis code may be reimbursed when submitted with procedure code 99078:Added Diagnosis CodeE1110

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, section 9.2.56 “Physician Evaluation and Management (E/M) Services,” for more information.

ICD-10 Special Bulletin, No. 12 8 2017 Texas Medicaid

Medicaid Fee-For-Service and Managed Care Providers

CPT only copyright 2016 American Medical Association. All rights reserved.

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Pulmonary Function Studies

The following diagnosis codes may be reimbursed for High Altitude Simulation Test (HAST) procedure codes 94452 and 94453:Added Diagnosis CodesI2720 I2721 I2722 I2723 I2724 I2729 I2783Discontinued Diagnosis CodeI272

Evidence of hypoxemia must be documented in the client’s medical record when billing HAST procedure codes 94452 and 94453 with one of the following diagnosis codes:Added Diagnosis CodesI2720 I2721 I2722 I2724 I2729 I2783Discontinued Diagnosis CodeI272

Refer to: The current Texas Medicaid Provider Procedures Manual, Inpatient and Outpa-tient Hospital Handbook, section 4.2.20.4 “Pulmonary Function Studies,” for more information.

Substance Use Disorder Services

The following diagnosis codes may be reimbursed when submitted with ambulatory (outpatient) treatment services procedure codes H0004 and H0005:

Added Diagnosis CodesF1011 F1111 F1211 F1311 F1411 F1511 F1611F1811 F1911

Refer to: The current Texas Medicaid Provider Procedures Manual, Behavioral Health and Case Management Services Handbook, section 8, “Substance Use Disorder (SUD) Services (Abuse and Dependence),” for more information.

Vision Services – Nonsurgical

The following diagnosis codes may be reimbursed when submitted with polycarbonate lens procedure code V2784:Added Diagnosis CodesH540X33 H540X34 H540X35 H540X43 H540X44 H540X45 H540X53H540X54 H541131 H541132 H541141 H541142 H541151 H541152H541213 H541214 H541215 H541223 H541224 H541225 H542X12H542X21 H542X22 H54413A H54414A H5442A3 H5442A4 H54512AH5452A2

ICD-10 Special Bulletin, No. 12 9 2017 Texas Medicaid

Medicaid Fee-For-Service and Managed Care Providers

CPT only copyright 2016 American Medical Association. All rights reserved.

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Discontinued Diagnosis CodesH5441 H5442 H5451 H5452

Refer to: The current Texas Medicaid Provider Procedures Manual, Vision and Hearing Services Handbook, section 4.3.6.1 “Eyeglass Lens and Frames,” for more information.

Vitamin B12 (Cyanocobalamin) Injections

The following diagnosis code will no longer be covered for Vitamin B12 (Cyanocobalamin) Injections procedure code J3420: Discontinued Diagnosis CodeK5660

Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, section 9.2.38.35 “Vitamin B12 (Cyanocobalamin) Injections,” for more information.

HOME HEALTH AND COMPREHENSIVE CARE PROGRAM (CCP) PROVIDERS

Home Health Services Benefit ChangesThe following Texas Medicaid Home Health Services benefit changes have been made to support the 2018 International Classification of Diseases (ICD) updates and are effective for dates of service on or after October 1, 2017. For more information, call the Texas Medicaid & Healthcare Partnership (TMHP) Contact Center at 1-800-925-9126.

Diabetic Equipment and Supplies Home Health

The following diagnosis code may be reimbursed without prior authorization when submitted with blood testing and supplies procedure codes to home health durable medical equipment (DME) and medical supplier DME providers: Added Diagnosis CodeE1110

Refer to: The current Texas Medicaid Provider Procedures Manual, Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook, section 2.2.11.3 “Glucose Testing Equipment and Other Supplies,” for more information.

ICD-10 Special Bulletin, No. 12 10 2017 Texas Medicaid

Home Health and Comprehensive Care Program (CCP) Providers

CPT only copyright 2016 American Medical Association. All rights reserved.

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CCP Services Benefit ChangesThe following Texas Medicaid CCP benefit changes have been made to support the 2018 ICD updates and are effective for dates of service on or after October 1, 2017. For more information, call the TMHP Contact Center at 1-800-925-9126.

Blood Pressure Devices – CCP

The following diagnosis codes may be reimbursed when submitted with manual and automated blood pressure devices procedure codes A4660 and A4670:Added Diagnosis CodesI219 I21A1 I21A9 I2720 I2721 I2722 I2723I2724 I2729 I2783 I50810 I50811 I50812 I50813I50814 I5082 I5083 I5084 I5089

Refer to: The current Texas Medicaid Provider Procedures Manual, Children’s Services Handbook, section 2.6.4.1.1 “Manual and Automated Blood Pressure Devices,” for more information.

Nutritional Products - CCP

Nutritional products may be reimbursed without prior authorization when they are submitted with the following diagnosis codes:Added Diagnosis CodesE8581 E8589Discontinued Diagnosis CodeE858

Refer to: The current Texas Medicaid Provider Procedures Manual, Children’s Services Handbook, section 2.7.10, “Nutritional Products,” for more information.

ICD-10 Special Bulletin, No. 12 11 2017 Texas Medicaid

Home Health and Comprehensive Care Program (CCP) Providers

CPT only copyright 2016 American Medical Association. All rights reserved.

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CHILDREN WITH SPECIAL HEALTH CARE NEEDS (CSHCN) SERVICES PROGRAM PROVIDERS

CSHCN Services Program UpdatesThe 2018 ICD updates for the CSHCN Services Program are included in the ICD tables in the “All Code Changes: Added, Revised, and Discontinued” section of this bulletin beginning on page 16. The 2018 ICD deletions are effective October 1, 2017, for dates of service on or after October 1, 2017, for the CSHCN Services Program. Providers may refer to the “General Information” section for more information.

CSHCN Services Program Benefit ChangesThe following CSHCN Services Program benefit changes have been made to support the 2018 ICD updates and are effective for dates of service on or after October 1, 2017. For more information, call the TMHP-CSHCN Services Program Contact Center at 1-800-925-9126.

The policy articles below contain the following information:

• Revised: The description has been revised for these diagnosis codes. Providers may refer to the appropriate copyright holder for the revised descriptions.

• Discontinued: Discontinued diagnosis codes are no longer reimbursed after September 30, 2017.

• Added: Added diagnosis codes are new procedure codes added by the Centers for Medicare & Medicaid Services (CMS).

Ambulance Services

The following emergency medical condition codes must be used to identify emergency medical conditions for ambulance transports:Added Diagnosis CodesR0603 T07XXXA T148XXA T1490XA T1491XADiscontinued Diagnosis CodesT07 T148

An emergency ambulance transport may be reimbursed by the CSHCN Services Program when it is submitted with modifier ET and one or more emergency medical condition codes.

The requesting facility or physician must include with the claim documentation that describes the clients’ condition which necessitated the ambulance transport. Medicaid recognizes limitations of usual ambulance personnel for establishing a diagnosis, and recognizes coding of a client’s condition using International Classification of Diseases,

ICD-10 Special Bulletin, No. 12 12 2017 Texas Medicaid

Children With Special Health Care Needs (CSHCN) Services Program Providers

CPT only copyright 2016 American Medical Association. All rights reserved.

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10th Revision, Clinical Modification (ICD-10-CM) when reporting ambulance transport services may be less specific than for services reported by other professional providers.

Providers who submit ICD-10-CM diagnosis codes should choose the code that best describes the client’s condition at the time of transport. Diagnoses that are “rule out” or “suspected” diagnoses should not be reported using specific ICD-10-CM diagnosis codes. In such instances where a diagnosis is not confirmed, it is more correct to use a symptom, finding, or injury diagnosis code.

Refer to: The current CSHCN Services Program Provider Manual, section 9.3, “Emergency Ambulance Transports,” for more information.

Ambulatory Blood Pressure Monitoring and Devices

The following diagnosis codes may be reimbursed when submitted with procedure codes A4660 and A4670:Added Diagnosis CodesI219 I21A1 I21A9 I2720 I2721 I2722 I2723I2724 I2729 I2783 I50810 I50811 I50812 I50813I50814 I5082 I5083 I5084 I5089Revised Diagnosis CodeI501

Refer to: The current CSHCN Services Program Provider Manual, section 11.2.1.2 “Manual and Automated Blood Pressure Devices,” for more information.

Cytogenetics

The following diagnosis codes may be reimbursed when submitted with procedure codes 88230, 88233, 88235, 88237, 88239, 88245, 88248, 88249, 88261, 88262, 88263, 88264, 88271, 88272, 88273, 88274, 88275, 88280, 88283, 88285, 88289, and 88291:Added Diagnosis CodesP2930 P2938 Q53111 Q53112 Q5313 Q53211 Q53212Q5323Discontinued Diagnosis CodesP293 Q5311 Q5321Revised Diagnosis CodesQ6412 Q822 Z315

Refer to: The current CSHCN Services Program Provider Manual, section 25.2.5.2 “Cytogenetics Testing,” for more information.

ICD-10 Special Bulletin, No. 12 13 2017 Texas Medicaid

Children With Special Health Care Needs (CSHCN) Services Program Providers

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 14: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

Diabetic Equipment and Supplies

The following diagnosis codes may be reimbursed without prior authorization when submitted with blood testing and supplies procedure codes:Added Diagnosis CodeE1110

Refer to: The current CSHCN Services Program Provider Manual, section 15.2.1 “Glucose Monitor and Supplies,” for more information.

Echoencephalography

The following diagnosis codes may be reimbursed when submitted with procedure code 76505:Added Diagnosis CodesP91811 P91819 P9188Discontinued Diagnosis CodesS061X7D S061X7S S061X8D S061X8S S06307D S06307S S06308DS06308S S06317D S06317S S06318D S06318S S06327D S06327SS06328D S06328S S06337D S06337S S06338D S06338S S06347DS06347S S06348D S06348S S06357D S06357S S06358D S06358SS06367D S06367S S06368D S06368S S06377D S06377S S06378DS06378S S06387D S06387S S06388D S06388S S064X7D S064X7SS064X8D S064X8S S065X7D S065X7S S065X8D S065X8S S066X7DS066X7S S066X8D S066X8S S06897D S06897S S06898D S06898SS069X7D S069X7S S069X8D S069X8S

Refer to: The current CSHCN Services Program Provider Manual, section 31.2.17 “Echoencephalography,” for more information.

Evoked Response and Neuromuscular Procedures

The following diagnosis codes may be reimbursed when submitted with electromyog-raphy (EMG) and nerve conduction study (NCS) procedure codes:Added Diagnosis CodesE8581 E8582 E8589 G1223 G1224 G1225 M48062Discontinued Diagnosis CodesE858 M4806Revised Diagnosis CodesM3300 M3301 M3302 M3309 M3310 M3311 M3312M3319

ICD-10 Special Bulletin, No. 12 14 2017 Texas Medicaid

Children With Special Health Care Needs (CSHCN) Services Program Providers

CPT only copyright 2016 American Medical Association. All rights reserved.

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Refer to: The current CSHCN Services Program Provider Manual, section 31.2.19 “Evoked Response and Neuromuscular Procedures,” for more information.

Expendable Medical Supplies

The following diagnosis codes may be reimbursed when submitted with the appropriate diapers, briefs, pull-ups, or liners procedure codes:Revised Diagnosis CodesN35112 N35113 N35114 N99111 N99112 N99113 Q6412

Refer to: The current CSHCN Services Program Provider Manual, section 18.2.4 “Diapers, Briefs, Pull-ups, and Liners,” for more information.

Neurostimulators and Neuromuscular Stimulators

The following diagnosis codes may be considered for prior authorization when submitted with appropriate dorsal column neurostimulation (DCN), intracranial neurostimulation (ICN), or percutaneous electrical nerve stimulation (PENS) device procedure codes:Added Diagnosis CodesG1223 G1224 G1225 M48061 M48062Discontinued Diagnosis CodeM4806

Refer to: The current CSHCN Services Program Provider Manual, section 27.2.1 “Dorsal Column Neurostimulation (DCN),” section 27.2.2 “Intracranial Neurostimu-lation (ICN),” and section 27.2.4 “Percutaneous Electrical Nerve Stimulation (PENS),” for more information.

Therapeutic Apheresis

The following diagnosis codes may be reimbursed when submitted with procedure codes 36511, 36512, 36513, 36514, 36515, and 36516:Revised Diagnosis CodesM3300 M3301 M3302 M3309 M3310 M3311 M3312M3319

Refer to: The current CSHCN Services Program Provider Manual section 31.2.40 “Thera-peutic Apheresis,” for more information.

ICD-10 Special Bulletin, No. 12 15 2017 Texas Medicaid

Children With Special Health Care Needs (CSHCN) Services Program Providers

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Vision Services Nonsurgical

The following diagnosis codes may be reimbursed when submitted with the appropriate contact lenses and their prescription and fitting procedure codes:Added Diagnosis CodesH442A1 H442A2 H442A3 H442A9 H442B1 H442B2 H442B3H442B9 H442C1 H442C2 H442C3 H442C9 H442D1 H442D2H442D3 H442D9 H442E1 H442E2 H442E3 H442E9

Refer to: The current CSHCN Services Program Provider Manual, section 40.2.1.4 “Contact Lenses,” for more information.

ALL CODE CHANGES: ADDED, REVISED, AND DISCONTINUED

2018 ICD Diagnosis Code AdditionsThe following is a list of new International Classification of Diseases (ICD) diagnosis codes: Diagnosis CodesA0471 A0472 C9620 C9621 C9622 C9629 D4701D4702 D4709 E1110 E1111 E8581 E8582 E8589F1011 F1111 F1211 F1311 F1411 F1511 F1611F1811 F1911 F5082 G1223 G1224 G1225 H442A1H442A2 H442A3 H442A9 H442B1 H442B2 H442B3 H442B9H442C1 H442C2 H442C3 H442C9 H442D1 H442D2 H442D3H442D9 H442E1 H442E2 H442E3 H442E9 H540X33 H540X34H540X35 H540X43 H540X44 H540X45 H540X53 H540X54 H540X55H541131 H541132 H541141 H541142 H541151 H541152 H541213H541214 H541215 H541223 H541224 H541225 H542X11 H542X12H542X21 H542X22 H54413A H54414A H54415A H5442A3 H5442A4H5442A5 H54511A H54512A H5452A1 H5452A2 I219 I21A1I21A9 I2720 I2721 I2722 I2723 I2724 I2729I2783 150810 I50811 I50812 I50813 I50814 I5082I5083 I5084 I5089 K06010 K06011 K06012 K06013K06020 K06021 K06022 K06023 K5650 K5651 K5652K56600 K56601 K56609 K56690 K56691 K56699 K9130K9131 K9132 L97105 L97106 L97108 L97115 L97116L97118 L97125 L97126 L97128 L97205 L97206 L97208L97215 L97216 L97218 L97225 L97226 L97228 L97305

ICD-10 Special Bulletin, No. 12 16 2017 Texas Medicaid

All Code Changes: Added, Revised, and Discontinued

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Diagnosis CodesL97306 L97308 L97315 L97316 L97318 L97325 L97326L97328 L97405 L97406 L97408 L97415 L97416 L97418L97425 L97426 L97428 L97505 L97506 L97508 L07515L97516 L97518 L97525 L97526 L97528 L97805 L97806L97808 L97815 L97816 L97818 L97825 L97826 L97828L97905 L97906 L97908 L97915 L97916 L97918 L97925L97926 L97928 L98415 L98416 L98418 L98425 L98426L98428 L98495 L98496 L98498 M3303 M3313 M3393M48061 M48062 N630 N6310 N6311 N6312 N6313N6314 N6320 N6321 N6322 N6323 N6324 N6331N6332 N6341 N6342 O00101 O00102 O00109 O00111O00112 O00119 O00201 O00202 O00209 O00211 O00212O00219 O368310 O368311 O368312 O368313 O368314 O368315O368319 O368320 O368321 O368322 O368323 O368324 O368325O368329 O368330 O368331 O368332 O368333 O368334 O368335O368339 O368390 O368391 O368392 O368393 O368394 O368395O368399 P2930 P2938 P7884 P8381 P8388 P91811P91819 P9188 Q53111 Q53112 Q5313 Q53211 Q53212Q5323 R0603 R3983 R3984 T07XXXA T07XXXD T07XXXST148XXA T148XXD T148XXS T1490XA T1490XD T1490XS T1491XAT1491XD T1491XS V8605XA V8605XD V8605XS V8606XA V8606XDV8606XS V8615XA V8615XD V8615XS V8616XA V8616XD V8616XSV8625XA V8625XD V8625XS V8626XA V8626XD V8626XS V8635XAV8635XD V8635XS V8636XA V8636XD V8636XS V8645XA V8645XDV8645XS V8646XA V8646XD V8646XS V8655XA V8655XD V8655XSV8656XA V8656XD V8656XS V8665XA V8665XD V8665XS V8666XAV8666XD V8666XS V8675XA V8675XD V8675XS V8676XA V8676XDV8676XS V8695XA V8695XD V8695XS V8696XA V8696XD V8696XSZ360 Z361 Z362 Z363 Z364 Z365 Z3681Z3682 Z3683 Z3684 Z3685 Z3686 Z3687 Z3688Z3689 Z368A Z369 Z4003 Z7182 Z7183 Z91841Z91842 Z91843 Z91849

For more information, call the Texas Medicaid & Healthcare Partnership (TMHP) Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

ICD-10 Special Bulletin, No. 12 17 2017 Texas Medicaid

All Code Changes: Added, Revised, and Discontinued

CPT only copyright 2016 American Medical Association. All rights reserved.

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Discontinued Diagnosis CodesThe 2018 ICD discontinued diagnosis codes are no longer valid for claims submitted with dates of service on or after October 1, 2017. The following is a list of diagnosis codes that have been discontinued: Diagnosis CodesA047 C962 D470 E858 H540 H5411 H5412H542 H5441 H5442 H5451 H5452 I272 K060K565 K5660 K5669 K913 M4806 N63 O0010O0011 O0020 O0021 P293 P838 P918 Q5311Q5321 S061X7D S061X7S S061X8D S061X8S S062X7D S062X7SS062X8D S062X8S S06307D S06307S S06308D S06308S S06317DS06317S S06318D S06318S S06327D S06327S S06328D S06328SS06337D S06337S S06338D S06338S S06347D S06347S S06348DS06348S S06357D S06357S S06358D S06358S S06367D S06367SS06368D S06368S S06377D S06377S S06378D S06378S S06387DS06387S S06388D S06388S S064X7D S064X7S S064X8D S064X8SS065X7D S065X7S S065X8D S065X8S S066X7D S066X7S S066X8DS066X8S S06817D S06817S S06818D S06818S S06827D S06827SS06828D S06828S S06897D S06897S S06898D S06898S S069X7DS069X7S S069X8D S069X8S S63131A S63131D S63131S S63132AS63132D S63132S S63133A S63133D S63133S S63134A S63134DS63134S S63135A S63135D S63135S S63136A S63136D S63136SS63141A S63141D S63141S S63142A S63142D S63142S S63143AS63143D S63143S S63144A S63144D S63144S S63145A S63145DS63145S S63146A S63146D S63146S T07 T148 T1490T1491 Z36

For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

Diagnosis Code Description ChangesEffective for dates of service on or after October 1, 2017, the following diagnosis code descriptions have changed:Diagnosis CodesF410 H02051 H02052 H02053 H02054 H02055 H02056H02059 I501 I63211 I63212 I6322 I63323 I63333I63513 I63523 I63533 I82811 I82812 I82819 I83811

ICD-10 Special Bulletin, No. 12 18 2017 Texas Medicaid

All Code Changes: Added, Revised, and Discontinued

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Diagnosis CodesI83812 I83819 I83891 I83892 I83899 J156 M3300M3301 M3302 M3309 M3310 M3311 M3312 M3319N35112 N35113 N35114 N99111 N99112 N99113 Q6412Q822 S04031A S04031D S04031S S04032A S04032D S04032SS04039A S04039D S04039S S04041A S04041D S04041S S04042AS04042D S04042S S04049A S04049D S04049S S62311A S62311BS62311D S62311G S62311K S62311P S62311S S62317A S62317BS62317D S62317G S62317K S62317P S62317S S62341A S62341BS62341D S62341G S62341K S62341P S62341S S62347A S62347BS62347D S62347G S62347K S62347P S62347S S62620A S62620BS62620D S62620G S62620K S62620P S62620S S62621A S62621BS62621D S62621G S62621K S62621P S62621S S62622A S62622BS62622D S62622G S62622K S62622P S62622S S62623A S62623BS62623D S62623G S62623K S62623P S62623S S62624A S62624BS62624D S62624G S62624K S62624P S62624S S62625A S62625BS62625D S62625G S62625K S62625P S62625S S62650A S62650BS62650D S62650G S62650K S62650P S62650S S62651A S62651BS62651D S62651G S62651K S62651P S62651S S62652A S62652BS62652D S62652G S62652K S62652P S62652S S62653A S62653BS62653D S62653G S62653K S62653P S62653S S63121A S63121DS63121S S63122A S63122D S63122S S63123A S63123D S63123SS63124A S63124D S63124S S63125A S63125D S63125S S63126AS63126D S63126S S92521A S92521B S92521D S92521G S92521KS92521P S92521S S92522A S92522B S92522D S92522G S92522KS92522P S92522S S92523A S92523B S92523D S92523G S92523KS92523P S92523S S92524A S92524B S92524D S92524G S92524KS92524P S92524S S92525A S92525B S92525D S92525G S92525KS92525P S92525S S92526A S92526B S92526D S92526G S92526KS92526P S92526S W298XXA W298XXD W298XXS Z315 Z4002Z681 Z79890

For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

ICD-10 Special Bulletin, No. 12 19 2017 Texas Medicaid

All Code Changes: Added, Revised, and Discontinued

CPT only copyright 2016 American Medical Association. All rights reserved.

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INPATIENT HOSPITAL ICD-10-PCS AND DRG

Inpatient Hospital ICD-10-PCS Surgical Procedure Code and Diagnosis Related Group (DRG) UpdatesThe ICD-10-PCS procedure codes are inpatient hospital surgical procedure codes and must be submitted, as applicable, only on inpatient hospital claims.

Note: For professional and outpatient procedures and services, providers must continue to use the American Medical Association (AMA) Current Procedural Terminology (CPT) manual and the CMS Health Care Common Procedure Coding System (HCPCS) manual.

This section lists the ICD-10-PCS inpatient hospital surgical procedure code changes for inpatient hospital providers. Providers should refer to the appropriate copyright holder’s code listing for the new, discontinued, and revised descriptions for the procedure codes indicated below. All discontinued codes will not be reimbursed for dates of service on or after October 1, 2017.

The following table lists all of the new surgical procedure codes:

Note: These procedure codes are surgical codes used to assign the proper DRG for an inpatient hospital stay and are processed as informational only.Added Procedure Codes00160ZB 00163ZB 0016470 0016471 0016472 0016473 00164740016475 0016476 0016477 0016478 001647B 00164J0 00164J100164J2 00164J3 00164J4 00164J5 00164J6 00164J7 00164J800164JB 00164K0 00164K1 00164K2 00164K3 00164K4 00164K500164K6 00164K7 00164K8 00164KB 00164ZB 00760ZZ 00763ZZ00764ZZ 00CU0ZZ 00CU3ZZ 00CU4ZZ 00H004Z 00H00YZ 00H03YZ00H04YZ 00H60YZ 00H63YZ 00H64YZ 00HE0YZ 00HE3YZ 00HE4YZ00HU0YZ 00HU3YZ 00HU4YZ 00HV0YZ 00HV3YZ 00HV4YZ 00P00YZ00P03YZ 00P04YZ 00P60YZ 00P63YZ 00P64YZ 00PE0YZ 00PE3YZ00PE4YZ 00PU0YZ 00PU3YZ 00PU4YZ 00PV0YZ 00PV3YZ 00PV4YZ00R107Z 00R10JZ 00R10KZ 00R147Z 00R14JZ 00R14KZ 00R207Z00R20JZ 00R20KZ 00R247Z 00R24JZ 00R24KZ 00R607Z 00R60JZ00R60KZ 00R647Z 00R64JZ 00R64KZ 00RF07Z 00RF0JZ 00RF0KZ00RF47Z 00RF4JZ 00RF4KZ 00RG07Z 00RG0JZ 00RG0KZ 00RG47Z00RG4JZ 00RG4KZ 00RH07Z 00RH0JZ 00RH0KZ 00RH47Z 00RH4JZ00RH4KZ 00RJ07Z 00RJ0JZ 00RJ0KZ 00RJ47Z 00RJ4JZ 00RJ4KZ00RK07Z 00RK0JZ 00RK0KZ 00RK47Z 00RK4JZ 00RK4KZ 00RL07Z00RL0JZ 00RL0KZ 00RL47Z 00RL4JZ 00RL4KZ 00RM07Z 00RM0JZ00RM0KZ 00RM47Z 00RM4JZ 00RM4KZ 00RN07Z 00RN0JZ 00RN0KZ

ICD-10 Special Bulletin, No. 12 20 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

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Added Procedure Codes00RN47Z 00RN4JZ 00RN4KZ 00RP07Z 00RP0JZ 00RP0KZ 00RP47Z00RP4JZ 00RP4KZ 00RQ07Z 00RQ0JZ 00RQ0KZ 00RQ47Z 00RQ4JZ00RQ4KZ 00RR07Z 00RR0JZ 00RR0KZ 00RR47Z 00RR4JZ 00RR4KZ00RS07Z 00RS0JZ 00RS0KZ 00RS47Z 00RS4JZ 00RS4KZ 00RT07Z00RT0JZ 00RT0KZ 00RT47Z 00RT4JZ 00RT4KZ 00U607Z 00U60JZ00U60KZ 00U637Z 00U63JZ 00U63KZ 00U647Z 00U64JZ 00U64KZ00UF0JZ 00UF0KZ 00UF3JZ 00UF3KZ 00UF4JZ 00UF4KZ 00UG0JZ00UG0KZ 00UG3JZ 00UG3KZ 00UG4JZ 00UG4KZ 00UH0JZ 00UH0KZ00UH3JZ 00UH3KZ 00UH4JZ 00UH4KZ 00UJ0JZ 00UJ0KZ 00UJ3JZ00UJ3KZ 00UJ4JZ 00UJ4KZ 00UK0JZ 00UK0KZ 00UK3JZ 00UK3KZ00UK4JZ 00UK4KZ 00UL0JZ 00UL0KZ 00UL3JZ 00UL3KZ 00UL4JZ00UL4KZ 00UM0JZ 00UM0KZ 00UM3JZ 00UM3KZ 00UM4JZ 00UM4KZ00UN0JZ 00UN0KZ 00UN3JZ 00UN3KZ 00UN4JZ 00UN4KZ 00UP0JZ00UP0KZ 00UP3JZ 00UP3KZ 00UP4JZ 00UP4KZ 00UQ0JZ 00UQ0KZ00UQ3JZ 00UQ3KZ 00UQ4JZ 00UQ4KZ 00UR0JZ 00UR0KZ 00UR3JZ00UR3KZ 00UR4JZ 00UR4KZ 00US0JZ 00US0KZ 00US3JZ 00US3KZ00US4JZ 00US4KZ 00W00YZ 00W03YZ 00W04YZ 00W60YZ 00W63YZ00W64YZ 00WE0YZ 00WE3YZ 00WE4YZ 00WU0YZ 00WU3YZ 00WU4YZ00WV0YZ 00WV3YZ 00WV4YZ 01HY0YZ 01HY3YZ 01HY4YZ 01PY0YZ01PY3YZ 01PY4YZ 01R107Z 01R10JZ 01R10KZ 01R147Z 01R14JZ01R14KZ 01R207Z 01R20JZ 01R20KZ 01R247Z 01R24JZ 01R24KZ01R407Z 01R40JZ 01R40KZ 01R447Z 01R44JZ 01R44KZ 01R507Z01R50JZ 01R50KZ 01R547Z 01R54JZ 01R54KZ 01R607Z 01R60JZ01R60KZ 01R647Z 01R64JZ 01R64KZ 01R807Z 01R80JZ 01R80KZ01R847Z 01R84JZ 01R84KZ 01RB07Z 01RB0JZ 01RB0KZ 01RB47Z01RB4JZ 01RB4KZ 01RC07Z 01RC0JZ 01RC0KZ 01RC47Z 01RC4JZ01RC4KZ 01RD07Z 01RD0JZ 01RD0KZ 01RD47Z 01RD4JZ 01RD4KZ01RF07Z 01RF0JZ 01RF0KZ 01RF47Z 01RF4JZ 01RF4KZ 01RG07Z01RG0JZ 01RG0KZ 01RG47Z 01RG4JZ 01RG4KZ 01RH07Z 01RH0JZ01RH0KZ 01RH47Z 01RH4JZ 01RH4KZ 01RR07Z 01RR0JZ 01RR0KZ01RR47Z 01RR4JZ 01RR4KZ 01U10JZ 01U10KZ 01U13JZ 01U13KZ01U14JZ 01U14KZ 01U20JZ 01U20KZ 01U23JZ 01U23KZ 01U24JZ01U24KZ 01U40JZ 01U40KZ 01U43JZ 01U43KZ 01U44JZ 01U44KZ01U50JZ 01U50KZ 01U53JZ 01U53KZ 01U54JZ 01U54KZ 01U60JZ01U60KZ 01U63JZ 01U63KZ 01U64JZ 01U64KZ 01U80JZ 01U80KZ

ICD-10 Special Bulletin, No. 12 21 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

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Added Procedure Codes01U83JZ 01U83KZ 01U84JZ 01U84KZ 01UB0JZ 01UB0KZ 01UB3JZ01UB3KZ 01UB4JZ 01UB4KZ 01UC0JZ 01UC0KZ 01UC3JZ 01UC3KZ01UC4JZ 01UC4KZ 01UD0JZ 01UD0KZ 01UD3JZ 01UD3KZ 01UD4JZ01UD4KZ 01UF0JZ 01UF0KZ 01UF3JZ 01UF3KZ 01UF4JZ 01UF4KZ01UG0JZ 01UG0KZ 01UG3JZ 01UG3KZ 01UG4JZ 01UG4KZ 01UH0JZ01UH0KZ 01UH3JZ 01UH3KZ 01UH4JZ 01UH4KZ 01UR0JZ 01UR0KZ01UR3JZ 01UR3KZ 01UR4JZ 01UR4KZ 01WY0YZ 01WY3YZ 01WY4YZ02163Z7 021W0JG 021W0JH 021W0KG 021W0KH 027L04Z 027L0DZ027L0ZZ 027L34Z 027L3DZ 027L3ZZ 027L44Z 027L4DZ 027L4ZZ02H40YZ 02H43YZ 02H44YZ 02H60YZ 02H63YZ 02H64YZ 02H70YZ02H73YZ 02H74YZ 02HA0RJ 02HA0YZ 02HA3RJ 02HA3YZ 02HA4RJ02HA4YZ 02HK0YZ 02HK3YZ 02HK4YZ 02HL0YZ 02HL3YZ 02HL4YZ02HN0YZ 02HN3YZ 02HN4YZ 02HP0YZ 02HP3YZ 02HP4YZ 02HQ0YZ02HQ3YZ 02HQ4YZ 02HR0YZ 02HR3YZ 02HR4YZ 02HS0YZ 02HS3YZ02HS4YZ 02HT0YZ 02HT3YZ 02HT4YZ 02HV0YZ 02HV3YZ 02HV4YZ02HW0YZ 02HW3YZ 02HW4YZ 02LP0CZ 02LP0DZ 02LP0ZZ 02LP3CZ02LP3DZ 02LP3ZZ 02LP4CZ 02LP4DZ 02LP4ZZ 02LQ0CZ 02LQ0DZ02LQ0ZZ 02LQ3CZ 02LQ3DZ 02LQ3ZZ 02LQ4CZ 02LQ4DZ 02LQ4ZZ02LR0CZ 02LR0DZ 02LR0ZZ 02LR3CZ 02LR3DZ 02LR3ZZ 02LR4CZ02LR4DZ 02LR4ZZ 02LW3DJ 02N00ZZ 02N03ZZ 02N04ZZ 02N10ZZ02N13ZZ 02N14ZZ 02N20ZZ 02N23ZZ 02N24ZZ 02N30ZZ 02N33ZZ02N34ZZ 02PA0RS 02PA0YZ 02PA3RS 02PA3YZ 02PA4RS 02PA4YZ02PY0YZ 02PY3YZ 02PY4YZ 02RJ37H 02RJ37Z 02RJ38H 02RJ38Z02RJ3JH 02RJ3JZ 02RJ3KH 02RJ3KZ 02VG0ZZ 02VG3ZZ 02VG4ZZ02WA0RS 02WA0YZ 02WA3RS 02WA3YZ 02WA4RS 02WA4YZ 02WAXRS02WF37Z 02WF38Z 02WF3JZ 02WF3KZ 02WG37Z 02WG38Z 02WG3JZ02WG3KZ 02WH37Z 02WH38Z 02WH3JZ 02WH3KZ 02WJ37Z 02WJ38Z02WJ3JZ 02WJ3KZ 02WY0YZ 02WY3YZ 02WY4YZ 031509V 03150AV03150JV 03150KV 03150ZV 031609V 03160AV 03160JV 03160KV03160ZV 031709V 03170AV 03170JV 03170KV 03170ZV 031809V03180AV 03180JV 03180KV 03180ZV 031H09K 031H0AK 031H0JK031H0KK 031H0ZK 031J09J 031J0AJ 031J0JJ 031J0KJ 031J0ZJ031K09K 031K0AK 031K0JK 031K0KK 031K0ZK 031L09J 031L0AJ031L0JJ 031L0KJ 031L0ZJ 031M09K 031M0AK 031M0JK 031M0KK031M0ZK 031N09J 031N0AJ 031N0JJ 031N0KJ 031N0ZJ 03HY0YZ

ICD-10 Special Bulletin, No. 12 22 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

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Added Procedure Codes03HY3YZ 03HY4YZ 03PY0YZ 03PY3YZ 03PY4YZ 03WY0YZ 03WY3YZ03WY4YZ 0413093 0413094 0413095 04130A3 04130A4 04130A504130J3 04130J4 04130J5 04130K3 04130K4 04130K5 04130Z304130Z4 04130Z5 0413493 0413494 0413495 04134A3 04134A404134A5 04134J3 04134J4 04134J5 04134K3 04134K4 04134K504134Z3 04134Z4 04134Z5 041T09P 041T09Q 041T09S 041T0AP041T0AQ 041T0AS 041T0JP 041T0JQ 041T0JS 041T0KP 041T0KQ041T0KS 041T0ZP 041T0ZQ 041T0ZS 041T49P 041T49Q 041T49S041T4AP 041T4AQ 041T4AS 041T4JP 041T4JQ 041T4JS 041T4KP041T4KQ 041T4KS 041T4ZP 041T4ZQ 041T4ZS 041U09P 041U09Q041U09S 041U0AP 041U0AQ 041U0AS 041U0JP 041U0JQ 041U0JS041U0KP 041U0KQ 041U0KS 041U0ZP 041U0ZQ 041U0ZS 041U49P041U49Q 041U49S 041U4AP 041U4AQ 041U4AS 041U4JP 041U4JQ041U4JS 041U4KP 041U4KQ 041U4KS 041U4ZP 041U4ZQ 041U4ZS041V09P 041V09Q 041V09S 041V0AP 041V0AQ 041V0AS 041V0JP041V0JQ 041V0JS 041V0KP 041V0KQ 041V0KS 041V0ZP 041V0ZQ041V0ZS 041V49P 041V49Q 041V49S 041V4AP 041V4AQ 041V4AS041V4JP 041V4JQ 041V4JS 041V4KP 041V4KQ 041V4KS 041V4ZP041V4ZQ 041V4ZS 041W09P 041W09Q 041W09S 041W0AP 041W0AQ041W0AS 041W0JP 041W0JQ 041W0JS 041W0KP 041W0KQ 041W0KS041W0ZP 041W0ZQ 041W0ZS 041W49P 041W49Q 041W49S 041W4AP041W4AQ 041W4AS 041W4JP 041W4JQ 041W4JS 041W4KP 041W4KQ041W4KS 041W4ZP 041W4ZQ 041W4ZS 0470041 04700D1 04700Z10470341 04703D1 04703Z1 0470441 04704D1 04704Z1 047104104710D1 04710Z1 0471341 04713D1 04713Z1 0471441 04714D104714Z1 0472041 04720D1 04720Z1 0472341 04723D1 04723Z10472441 04724D1 04724Z1 0473041 04730D1 04730Z1 047334104733D1 04733Z1 0473441 04734D1 04734Z1 0474041 04740D104740Z1 0474341 04743D1 04743Z1 0474441 04744D1 04744Z10475041 04750D1 04750Z1 0475341 04753D1 04753Z1 047544104754D1 04754Z1 0476041 04760D1 04760Z1 0476341 04763D104763Z1 0476441 04764D1 04764Z1 0477041 04770D1 04770Z10477341 04773D1 04773Z1 0477441 04774D1 04774Z1 047804104780D1 04780Z1 0478341 04783D1 04783Z1 0478441 04784D104784Z1 0479041 04790D1 04790Z1 0479341 04793D1 04793Z1

ICD-10 Special Bulletin, No. 12 23 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 24: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

Added Procedure Codes0479441 04794D1 04794Z1 047A041 047A0D1 047A0Z1 047A341047A3D1 047A3Z1 047A441 047A4D1 047A4Z1 047B041 047B0D1047B0Z1 047B341 047B3D1 047B3Z1 047B441 047B4D1 047B4Z1047C041 047C0D1 047C0Z1 047C341 047C3D1 047C3Z1 047C441047C4D1 047C4Z1 047D041 047D0D1 047D0Z1 047D341 047D3D1047D3Z1 047D441 047D4D1 047D4Z1 047E041 047E0D1 047E0Z1047E341 047E3D1 047E3Z1 047E441 047E4D1 047E4Z1 047F041047F0D1 047F0Z1 047F341 047F3D1 047F3Z1 047F441 047F4D1047F4Z1 047H041 047H0D1 047H0Z1 047H341 047H3D1 047H3Z1047H441 047H4D1 047H4Z1 047J041 047J0D1 047J0Z1 047J341047J3D1 047J3Z1 047J441 047J4D1 047J4Z1 047P041 047P0D1047P0Z1 047P341 047P3D1 047P3Z1 047P441 047P4D1 047P4Z1047Q041 047Q0D1 047Q0Z1 047Q341 047Q3D1 047Q3Z1 047Q441047Q4D1 047Q4Z1 047R041 047R0D1 047R0Z1 047R341 047R3D1047R3Z1 047R441 047R4D1 047R4Z1 047S041 047S0D1 047S0Z1047S341 047S3D1 047S3Z1 047S441 047S4D1 047S4Z1 047T041047T0D1 047T0Z1 047T341 047T3D1 047T3Z1 047T441 047T4D1047T4Z1 047U041 047U0D1 047U0Z1 047U341 047U3D1 047U3Z1047U441 047U4D1 047U4Z1 047V041 047V0D1 047V0Z1 047V341047V3D1 047V3Z1 047V441 047V4D1 047V4Z1 047W041 047W0D1047W0Z1 047W341 047W3D1 047W3Z1 047W441 047W4D1 047W4Z1047Y041 047Y0D1 047Y0Z1 047Y341 047Y3D1 047Y3Z1 047Y441047Y4D1 047Y4Z1 04HY0YZ 04HY3YZ 04HY4YZ 04L03DJ 04PY0YZ04PY3YZ 04PY4YZ 04WY0YZ 04WY3YZ 04WY4YZ 05HY0YZ 05HY3YZ05HY4YZ 05PY0YZ 05PY3YZ 05PY4YZ 05WY0YZ 05WY3YZ 05WY4YZ061007P 061007Q 061007R 061009P 061009Q 061009R 06100AP06100AQ 06100AR 06100JP 06100JQ 06100JR 06100KP 06100KQ06100KR 06100ZP 06100ZQ 06100ZR 061047P 061047Q 061047R061049P 061049Q 061049R 06104AP 06104AQ 06104AR 06104JP06104JQ 06104JR 06104KP 06104KQ 06104KR 06104ZP 06104ZQ06104ZR 06183J4 06183JY 06184J4 06HY0YZ 06HY3YZ 06HY4YZ06L37CZ 06L37DZ 06L37ZZ 06L38CZ 06L38DZ 06L38ZZ 06PY0YZ06PY3YZ 06PY4YZ 06WY0YZ 06WY3YZ 06WY4YZ 079080Z 07908ZX07908ZZ 079180Z 07918ZX 07918ZZ 079280Z 07928ZX 07928ZZ079380Z 07938ZX 07938ZZ 079480Z 07948ZX 07948ZZ 079580Z

ICD-10 Special Bulletin, No. 12 24 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 25: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

Added Procedure Codes07958ZX 07958ZZ 079680Z 07968ZX 07968ZZ 079780Z 07978ZX07978ZZ 079880Z 07988ZX 07988ZZ 079980Z 07998ZX 07998ZZ079B80Z 079B8ZX 079B8ZZ 079C80Z 079C8ZX 079C8ZZ 079D80Z079D8ZX 079D8ZZ 079F80Z 079F8ZX 079F8ZZ 079G80Z 079G8ZX079G8ZZ 079H80Z 079H8ZX 079H8ZZ 079J80Z 079J8ZX 079J8ZZ079K80Z 079K8ZX 079K8ZZ 079L80Z 079L8ZX 079L8ZZ 07D03ZX07D04ZX 07D08ZX 07D13ZX 07D14ZX 07D18ZX 07D23ZX 07D24ZX07D28ZX 07D33ZX 07D34ZX 07D38ZX 07D43ZX 07D44ZX 07D48ZX07D53ZX 07D54ZX 07D58ZX 07D63ZX 07D64ZX 07D68ZX 07D73ZX07D74ZX 07D78ZX 07D83ZX 07D84ZX 07D88ZX 07D93ZX 07D94ZX07D98ZX 07DB3ZX 07DB4ZX 07DB8ZX 07DC3ZX 07DC4ZX 07DC8ZX07DD3ZX 07DD4ZX 07DD8ZX 07DF3ZX 07DF4ZX 07DF8ZX 07DG3ZX07DG4ZX 07DG8ZX 07DH3ZX 07DH4ZX 07DH8ZX 07DJ3ZX 07DJ4ZX07DJ8ZX 07DK3ZX 07DK4ZX 07DK8ZX 07DL3ZX 07DL4ZX 07DL8ZX07DM3ZX 07DM4ZX 07DP3ZX 07DP4ZX 07HK0YZ 07HK3YZ 07HK4YZ07HL0YZ 07HL3YZ 07HL4YZ 07HM0YZ 07HM3YZ 07HM4YZ 07HN0YZ07HN3YZ 07HN4YZ 07HP0YZ 07HP3YZ 07HP4YZ 07JN8ZZ 07PK0YZ07PK3YZ 07PK4YZ 07PL0YZ 07PL3YZ 07PL4YZ 07PM0YZ 07PM3YZ07PM4YZ 07PN0YZ 07PN3YZ 07PN4YZ 07PP0YZ 07PP3YZ 07PP4YZ07Q08ZZ 07Q18ZZ 07Q28ZZ 07Q38ZZ 07Q48ZZ 07Q58ZZ 07Q68ZZ07Q78ZZ 07Q88ZZ 07Q98ZZ 07QB8ZZ 07QC8ZZ 07QD8ZZ 07QF8ZZ07QG8ZZ 07QH8ZZ 07QJ8ZZ 07QK8ZZ 07QL8ZZ 07WK0YZ 07WK3YZ07WK4YZ 07WL0YZ 07WL3YZ 07WL4YZ 07WM0YZ 07WM3YZ 07WM4YZ07WN0YZ 07WN3YZ 07WN4YZ 07WP0YZ 07WP3YZ 07WP4YZ 08H00YZ08H03YZ 08H07YZ 08H08YZ 08H10YZ 08H13YZ 08H17YZ 08H18YZ08P00YZ 08P03YZ 08P07YZ 08P08YZ 08P10YZ 08P13YZ 08P17YZ08P18YZ 08PJ3YZ 08PK3YZ 08PL0YZ 08PL3YZ 08PM0YZ 08PM3YZ08W00YZ 08W03YZ 08W07YZ 08W08YZ 08W10YZ 08W13YZ 08W17YZ08W18YZ 08WJ3YZ 08WK3YZ 08WL0YZ 08WL3YZ 08WM0YZ 08WM3YZ09558ZZ 09568ZZ 09598ZZ 095A8ZZ 095B8ZZ 095C8ZZ 095D8ZZ095E8ZZ 095K8ZZ 095M8ZZ 095P8ZZ 095Q8ZZ 095R8ZZ 095S8ZZ095T8ZZ 095U8ZZ 095V8ZZ 095W8ZZ 095X8ZZ 099570Z 09957ZX09957ZZ 099580Z 09958ZX 09958ZZ 099670Z 09967ZX 09967ZZ099680Z 09968ZX 09968ZZ 099970Z 09997ZX 09997ZZ 099980Z09998ZX 09998ZZ 099A70Z 099A7ZX 099A7ZZ 099A80Z 099A8ZX

ICD-10 Special Bulletin, No. 12 25 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 26: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

Added Procedure Codes099A8ZZ 099B70Z 099B7ZX 099B7ZZ 099B80Z 099B8ZX 099B8ZZ099C70Z 099C7ZX 099C7ZZ 099C80Z 099C8ZX 099C8ZZ 099D70Z099D7ZX 099D7ZZ 099D80Z 099D8ZX 099D8ZZ 099E70Z 099E7ZX099E7ZZ 099E80Z 099E8ZX 099E8ZZ 099K70Z 099K7ZX 099K7ZZ099K80Z 099K8ZX 099K8ZZ 099M70Z 099M7ZX 099M7ZZ 099M80Z099M8ZX 099M8ZZ 099P70Z 099P7ZX 099P7ZZ 099P80Z 099P8ZX099P8ZZ 099Q70Z 099Q7ZX 099Q7ZZ 099Q80Z 099Q8ZX 099Q8ZZ099R70Z 099R7ZX 099R7ZZ 099R80Z 099R8ZX 099R8ZZ 099S70Z099S7ZX 099S7ZZ 099S80Z 099S8ZX 099S8ZZ 099T70Z 099T7ZX099T7ZZ 099T80Z 099T8ZX 099T8ZZ 099U70Z 099U7ZX 099U7ZZ099U80Z 099U8ZX 099U8ZZ 099V70Z 099V7ZX 099V7ZZ 099V80Z099V8ZX 099V8ZZ 099W70Z 099W7ZX 099W7ZZ 099W80Z 099W8ZX099W8ZZ 099X70Z 099X7ZX 099X7ZZ 099X80Z 099X8ZX 099X8ZZ09B58ZX 09B58ZZ 09B68ZX 09B68ZZ 09B98ZX 09B98ZZ 09BA8ZX09BA8ZZ 09BB8ZX 09BB8ZZ 09BC8ZX 09BC8ZZ 09BD8ZX 09BD8ZZ09BE8ZX 09BE8ZZ 09BK8ZX 09BK8ZZ 09BM8ZX 09BM8ZZ 09BP8ZX09BP8ZZ 09BQ8ZX 09BQ8ZZ 09BR8ZX 09BR8ZZ 09BS8ZX 09BS8ZZ09BT8ZX 09BT8ZZ 09BU8ZX 09BU8ZZ 09BV8ZX 09BV8ZZ 09BW8ZX09BW8ZZ 09BX8ZX 09BX8ZZ 09C58ZZ 09C68ZZ 09C98ZZ 09CA8ZZ09CB8ZZ 09CC8ZZ 09CD8ZZ 09CE8ZZ 09CK8ZZ 09CM8ZZ 09CP8ZZ09CQ8ZZ 09CR8ZZ 09CS8ZZ 09CT8ZZ 09CU8ZZ 09CV8ZZ 09CW8ZZ09CX8ZZ 09HH0YZ 09HH3YZ 09HH4YZ 09HH7YZ 09HH8YZ 09HJ0YZ09HJ3YZ 09HJ4YZ 09HJ7YZ 09HJ8YZ 09HK0YZ 09HK3YZ 09HK4YZ09HK7YZ 09HK8YZ 09HY0YZ 09HY3YZ 09HY4YZ 09HY7YZ 09HY8YZ09JD8ZZ 09JE8ZZ 09JK8ZZ 09JY8ZZ 09N58ZZ 09N68ZZ 09N98ZZ09NA8ZZ 09NB8ZZ 09NC8ZZ 09ND8ZZ 09NE8ZZ 09NK8ZZ 09NM8ZZ09NP8ZZ 09NQ8ZZ 09NR8ZZ 09NS8ZZ 09NT8ZZ 09NU8ZZ 09NV8ZZ09NW8ZZ 09NX8ZZ 09PH0YZ 09PH3YZ 09PH4YZ 09PH7YZ 09PH8YZ09PJ0YZ 09PJ3YZ 09PJ4YZ 09PJ7YZ 09PJ8YZ 09PK0YZ 09PK3YZ09PK4YZ 09PK7YZ 09PK8YZ 09PY0YZ 09PY3YZ 09PY4YZ 09PY7YZ09PY8YZ 09Q58ZZ 09Q68ZZ 09Q98ZZ 09QA8ZZ 09QB8ZZ 09QC8ZZ09QD8ZZ 09QE8ZZ 09QK8ZZ 09QM8ZZ 09QP8ZZ 09QQ8ZZ 09QR8ZZ09QS8ZZ 09QT8ZZ 09QU8ZZ 09QV8ZZ 09QW8ZZ 09QX8ZZ 09T58ZZ09T68ZZ 09T98ZZ 09TA8ZZ 09TB8ZZ 09TC8ZZ 09TD8ZZ 09TE8ZZ09TK8ZZ 09TM8ZZ 09TP8ZZ 09TQ8ZZ 09TR8ZZ 09TS8ZZ 09TT8ZZ

ICD-10 Special Bulletin, No. 12 26 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 27: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

Added Procedure Codes09TU8ZZ 09TV8ZZ 09TW8ZZ 09TX8ZZ 09U587Z 09U58JZ 09U58KZ09U687Z 09U68JZ 09U68KZ 09U987Z 09U98JZ 09U98KZ 09UA87Z09UA8JZ 09UA8KZ 09UD87Z 09UD8JZ 09UD8KZ 09UE87Z 09UE8JZ09UE8KZ 09UK87Z 09UK8JZ 09UK8KZ 09UM87Z 09UM8JZ 09UM8KZ09WH0YZ 09WH3YZ 09WH4YZ 09WH7YZ 09WH8YZ 09WJ0YZ 09WJ3YZ09WJ4YZ 09WJ7YZ 09WJ8YZ 09WK0YZ 09WK3YZ 09WK4YZ 09WK7YZ09WK8YZ 09WY0YZ 09WY3YZ 09WY4YZ 09WY7YZ 09WY8YZ 0B5T0ZZ0B5T3ZZ 0B5T4ZZ 0B9N80Z 0B9N8ZX 0B9N8ZZ 0B9P80Z 0B9P8ZX0B9P8ZZ 0B9T00Z 0B9T0ZX 0B9T0ZZ 0B9T30Z 0B9T3ZX 0B9T3ZZ0B9T40Z 0B9T4ZX 0B9T4ZZ 0BBN8ZX 0BBN8ZZ 0BBP8ZX 0BBP8ZZ0BBT0ZX 0BBT0ZZ 0BBT3ZX 0BBT3ZZ 0BBT4ZX 0BBT4ZZ 0BCT0ZZ0BCT3ZZ 0BCT4ZZ 0BD14ZX 0BD18ZX 0BD24ZX 0BD28ZX 0BD34ZX0BD38ZX 0BD44ZX 0BD48ZX 0BD54ZX 0BD58ZX 0BD64ZX 0BD68ZX0BD74ZX 0BD78ZX 0BD84ZX 0BD88ZX 0BD94ZX 0BD98ZX 0BDB4ZX0BDB8ZX 0BDC4ZX 0BDC8ZX 0BDD4ZX 0BDD8ZX 0BDF4ZX 0BDF8ZX0BDG4ZX 0BDG8ZX 0BDH4ZX 0BDH8ZX 0BDJ4ZX 0BDJ8ZX 0BDK4ZX0BDK8ZX 0BDL4ZX 0BDL8ZX 0BDM4ZX 0BDM8ZX 0BH00YZ 0BH03YZ0BH04YZ 0BH07YZ 0BH08YZ 0BH10YZ 0BH13YZ 0BH14YZ 0BH17YZ0BH18YZ 0BHK0YZ 0BHK3YZ 0BHK4YZ 0BHK7YZ 0BHK8YZ 0BHL0YZ0BHL3YZ 0BHL4YZ 0BHL7YZ 0BHL8YZ 0BHQ0YZ 0BHQ3YZ 0BHQ4YZ0BHQ7YZ 0BHQ8YZ 0BHT02Z 0BHT0MZ 0BHT0YZ 0BHT32Z 0BHT3MZ0BHT3YZ 0BHT42Z 0BHT4MZ 0BHT4YZ 0BHT7YZ 0BHT8YZ 0BMT0ZZ0BNT0ZZ 0BNT3ZZ 0BNT4ZZ 0BP00YZ 0BP03YZ 0BP04YZ 0BP07YZ0BP08YZ 0BPK0YZ 0BPK3YZ 0BPK4YZ 0BPK7YZ 0BPK8YZ 0BPL0YZ0BPL3YZ 0BPL4YZ 0BPL7YZ 0BPL8YZ 0BPQ0YZ 0BPQ3YZ 0BPQ4YZ0BPQ7YZ 0BPQ8YZ 0BPT0YZ 0BPT3YZ 0BPT4YZ 0BPT7YZ 0BPT8YZ0BQT0ZZ 0BQT3ZZ 0BQT4ZZ 0BR107Z 0BR10JZ 0BR10KZ 0BR147Z0BR14JZ 0BR14KZ 0BR207Z 0BR20JZ 0BR20KZ 0BR247Z 0BR24JZ0BR24KZ 0BR307Z 0BR30JZ 0BR30KZ 0BR347Z 0BR34JZ 0BR34KZ0BR407Z 0BR40JZ 0BR40KZ 0BR447Z 0BR44JZ 0BR44KZ 0BR507Z0BR50JZ 0BR50KZ 0BR547Z 0BR54JZ 0BR54KZ 0BR607Z 0BR60JZ0BR60KZ 0BR647Z 0BR64JZ 0BR64KZ 0BR707Z 0BR70JZ 0BR70KZ0BR747Z 0BR74JZ 0BR74KZ 0BR807Z 0BR80JZ 0BR80KZ 0BR847Z0BR84JZ 0BR84KZ 0BR907Z 0BR90JZ 0BR90KZ 0BR947Z 0BR94JZ0BR94KZ 0BRB07Z 0BRB0JZ 0BRB0KZ 0BRB47Z 0BRB4JZ 0BRB4KZ

ICD-10 Special Bulletin, No. 12 27 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 28: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

Added Procedure Codes0BRT07Z 0BRT0JZ 0BRT0KZ 0BRT47Z 0BRT4JZ 0BRT4KZ 0BST0ZZ0BTT0ZZ 0BTT4ZZ 0BU187Z 0BU18JZ 0BU18KZ 0BU287Z 0BU28JZ0BU28KZ 0BU387Z 0BU38JZ 0BU38KZ 0BU487Z 0BU48JZ 0BU48KZ0BU587Z 0BU58JZ 0BU58KZ 0BU687Z 0BU68JZ 0BU68KZ 0BU787Z0BU78JZ 0BU78KZ 0BU887Z 0BU88JZ 0BU88KZ 0BU987Z 0BU98JZ0BU98KZ 0BUB87Z 0BUB8JZ 0BUB8KZ 0BUT07Z 0BUT0JZ 0BUT0KZ0BUT47Z 0BUT4JZ 0BUT4KZ 0BW00YZ 0BW03YZ 0BW04YZ 0BW07YZ0BW08YZ 0BWK0YZ 0BWK3YZ 0BWK4YZ 0BWK7YZ 0BWK8YZ 0BWL0YZ0BWL3YZ 0BWL4YZ 0BWL7YZ 0BWL8YZ 0BWQ0YZ 0BWQ3YZ 0BWQ4YZ0BWQ7YZ 0BWQ8YZ 0BWT0YZ 0BWT3YZ 0BWT4YZ 0BWT7YZ 0BWT8YZ0CHA0YZ 0CHA3YZ 0CHA7YZ 0CHA8YZ 0CHS0YZ 0CHS3YZ 0CHS7YZ0CHS8YZ 0CHY0YZ 0CHY3YZ 0CHY7YZ 0CHY8YZ 0CPA0YZ 0CPA3YZ0CPA7YZ 0CPA8YZ 0CPS0YZ 0CPS3YZ 0CPS7YZ 0CPS8YZ 0CPY0YZ0CPY3YZ 0CPY7YZ 0CPY8YZ 0CWA0YZ 0CWA3YZ 0CWA7YZ 0CWA8YZ0CWS0YZ 0CWS3YZ 0CWS7YZ 0CWS8YZ 0CWY0YZ 0CWY3YZ 0CWY7YZ0CWY8YZ 0D5U0ZZ 0D5U3ZZ 0D5U4ZZ 0D9U00Z 0D9U0ZX 0D9U0ZZ0D9U30Z 0D9U3ZX 0D9U3ZZ 0D9U40Z 0D9U4ZX 0D9U4ZZ 0DBGFZZ0DBLFZZ 0DBMFZZ 0DBNFZZ 0DBU0ZX 0DBU0ZZ 0DBU3ZX 0DBU3ZZ0DBU4ZX 0DBU4ZZ 0DCU0ZZ 0DCU3ZZ 0DCU4ZZ 0DD13ZX 0DD14ZX0DD18ZX 0DD23ZX 0DD24ZX 0DD28ZX 0DD33ZX 0DD34ZX 0DD38ZX0DD43ZX 0DD44ZX 0DD48ZX 0DD53ZX 0DD54ZX 0DD58ZX 0DD63ZX0DD64ZX 0DD68ZX 0DD73ZX 0DD74ZX 0DD78ZX 0DD83ZX 0DD84ZX0DD88ZX 0DD93ZX 0DD94ZX 0DD98ZX 0DDA3ZX 0DDA4ZX 0DDA8ZX0DDB3ZX 0DDB4ZX 0DDB8ZX 0DDC3ZX 0DDC4ZX 0DDC8ZX 0DDE3ZX0DDE4ZX 0DDE8ZX 0DDF3ZX 0DDF4ZX 0DDF8ZX 0DDG3ZX 0DDG4ZX0DDG8ZX 0DDH3ZX 0DDH4ZX 0DDH8ZX 0DDJ3ZX 0DDJ4ZX 0DDJ8ZX0DDK3ZX 0DDK4ZX 0DDK8ZX 0DDL3ZX 0DDL4ZX 0DDL8ZX 0DDM3ZX0DDM4ZX 0DDM8ZX 0DDN3ZX 0DDN4ZX 0DDN8ZX 0DDP3ZX 0DDP4ZX0DDP8ZX 0DDQ3ZX 0DDQ4ZX 0DDQ8ZX 0DDQXZX 0DH00YZ 0DH03YZ0DH04YZ 0DH07YZ 0DH08YZ 0DH50YZ 0DH53YZ 0DH54YZ 0DH57YZ0DH58YZ 0DH60YZ 0DH63YZ 0DH64YZ 0DH67YZ 0DH68YZ 0DHD0YZ0DHD3YZ 0DHD4YZ 0DHD7YZ 0DHD8YZ 0DNU0ZZ 0DNU3ZZ 0DNU4ZZ0DP00YZ 0DP03YZ 0DP04YZ 0DP07YZ 0DP08YZ 0DP50YZ 0DP53YZ0DP54YZ 0DP57YZ 0DP58YZ 0DP60YZ 0DP63YZ 0DP64YZ 0DP67YZ0DP68YZ 0DPD0YZ 0DPD3YZ 0DPD4YZ 0DPD7YZ 0DPD8YZ 0DQU0ZZ

ICD-10 Special Bulletin, No. 12 28 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 29: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

Added Procedure Codes0DQU3ZZ 0DQU4ZZ 0DRU07Z 0DRU0JZ 0DRU0KZ 0DRU47Z 0DRU4JZ0DRU4KZ 0DS80ZZ 0DS84ZZ 0DS87ZZ 0DS88ZZ 0DSE0ZZ 0DSE4ZZ0DSE7ZZ 0DSE8ZZ 0DTGFZZ 0DTLFZZ 0DTMFZZ 0DTNFZZ 0DTU0ZZ0DTU4ZZ 0DUU07Z 0DUU0JZ 0DUU0KZ 0DUU47Z 0DUU4JZ 0DUU4KZ0DW00YZ 0DW03YZ 0DW04YZ 0DW07YZ 0DW08YZ 0DW50YZ 0DW53YZ0DW54YZ 0DW57YZ 0DW58YZ 0DW60YZ 0DW63YZ 0DW64YZ 0DW67YZ0DW68YZ 0DWD0YZ 0DWD3YZ 0DWD4YZ 0DWD7YZ 0DWD8YZ 0F170D30F170D4 0F170D5 0F170D6 0F170D7 0F170D8 0F170D9 0F170DB0F170Z3 0F170Z4 0F170Z5 0F170Z6 0F170Z7 0F170Z8 0F170Z90F170ZB 0F174D3 0F174D4 0F174D5 0F174D6 0F174D7 0F174D80F174D9 0F174DB 0F174Z3 0F174Z4 0F174Z5 0F174Z6 0F174Z70F174Z8 0F174Z9 0F174ZB 0F548ZZ 0F570ZZ 0F573ZZ 0F574ZZ0F577ZZ 0F578ZZ 0F5G8ZZ 0F770DZ 0F770ZZ 0F773DZ 0F773ZZ0F774DZ 0F774ZZ 0F777DZ 0F777ZZ 0F778DZ 0F778ZZ 0F9480Z0F948ZX 0F948ZZ 0F9700Z 0F970ZX 0F970ZZ 0F9730Z 0F973ZX0F973ZZ 0F9740Z 0F974ZX 0F974ZZ 0F9770Z 0F977ZX 0F977ZZ0F9780Z 0F978ZX 0F978ZZ 0F9G80Z 0F9G8ZX 0F9G8ZZ 0FB48ZX0FB48ZZ 0FB70ZX 0FB70ZZ 0FB73ZX 0FB73ZZ 0FB74ZX 0FB74ZZ0FB77ZX 0FB77ZZ 0FB78ZX 0FB78ZZ 0FBG8ZX 0FBG8ZZ 0FC48ZZ0FC70ZZ 0FC73ZZ 0FC74ZZ 0FC77ZZ 0FC78ZZ 0FCG8ZZ 0FF70ZZ0FF73ZZ 0FF74ZZ 0FF77ZZ 0FF78ZZ 0FF7XZZ 0FH00YZ 0FH03YZ0FH04YZ 0FH40YZ 0FH43YZ 0FH44YZ 0FHB0YZ 0FHB3YZ 0FHB4YZ0FHB7YZ 0FHB8YZ 0FHD0YZ 0FHD3YZ 0FHD4YZ 0FHD7YZ 0FHD8YZ0FHG0YZ 0FHG3YZ 0FHG4YZ 0FJ48ZZ 0FJG8ZZ 0FL70CZ 0FL70DZ0FL70ZZ 0FL73CZ 0FL73DZ 0FL73ZZ 0FL74CZ 0FL74DZ 0FL74ZZ0FL77DZ 0FL77ZZ 0FL78DZ 0FL78ZZ 0FM70ZZ 0FM74ZZ 0FN48ZZ0FN70ZZ 0FN73ZZ 0FN74ZZ 0FN77ZZ 0FN78ZZ 0FNG8ZZ 0FP00YZ0FP03YZ 0FP04YZ 0FP40YZ 0FP43YZ 0FP44YZ 0FPB0YZ 0FPB3YZ0FPB4YZ 0FPB7YZ 0FPB8YZ 0FPD0YZ 0FPD3YZ 0FPD4YZ 0FPD7YZ0FPD8YZ 0FPG0YZ 0FPG3YZ 0FPG4YZ 0FQ48ZZ 0FQ70ZZ 0FQ73ZZ0FQ74ZZ 0FQ77ZZ 0FQ78ZZ 0FQG8ZZ 0FR587Z 0FR58JZ 0FR58KZ0FR687Z 0FR68JZ 0FR68KZ 0FR707Z 0FR70JZ 0FR70KZ 0FR747Z0FR74JZ 0FR74KZ 0FR787Z 0FR78JZ 0FR78KZ 0FR887Z 0FR88JZ0FR88KZ 0FR987Z 0FR98JZ 0FR98KZ 0FRC87Z 0FRC8JZ 0FRC8KZ0FRD87Z 0FRD8JZ 0FRD8KZ 0FRF87Z 0FRF8JZ 0FRF8KZ 0FS70ZZ

ICD-10 Special Bulletin, No. 12 29 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 30: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

Added Procedure Codes0FS74ZZ 0FT70ZZ 0FT74ZZ 0FT77ZZ 0FT78ZZ 0FU587Z 0FU58JZ0FU58KZ 0FU687Z 0FU68JZ 0FU68KZ 0FU707Z 0FU70JZ 0FU70KZ0FU737Z 0FU73JZ 0FU73KZ 0FU747Z 0FU74JZ 0FU74KZ 0FU787Z0FU78JZ 0FU78KZ 0FU887Z 0FU88JZ 0FU88KZ 0FU987Z 0FU98JZ0FU98KZ 0FUC87Z 0FUC8JZ 0FUC8KZ 0FUD87Z 0FUD8JZ 0FUD8KZ0FUF87Z 0FUF8JZ 0FUF8KZ 0FV70CZ 0FV70DZ 0FV70ZZ 0FV73CZ0FV73DZ 0FV73ZZ 0FV74CZ 0FV74DZ 0FV74ZZ 0FV77DZ 0FV77ZZ0FV78DZ 0FV78ZZ 0FW00YZ 0FW03YZ 0FW04YZ 0FW40YZ 0FW43YZ0FW44YZ 0FWB0YZ 0FWB3YZ 0FWB4YZ 0FWB7YZ 0FWB8YZ 0FWD0YZ0FWD3YZ 0FWD4YZ 0FWD7YZ 0FWD8YZ 0FWG0YZ 0FWG3YZ 0FWG4YZ0GBJ0ZX 0GBJ0ZZ 0GBJ3ZX 0GBJ3ZZ 0GBJ4ZX 0GBJ4ZZ 0GHS0YZ0GHS3YZ 0GHS4YZ 0GPS0YZ 0GPS3YZ 0GPS4YZ 0GTJ0ZZ 0GTJ4ZZ0GWS0YZ 0GWS3YZ 0GWS4YZ 0HHPXYZ 0HHT0YZ 0HHT3YZ 0HHT7YZ0HHT8YZ 0HHU0YZ 0HHU3YZ 0HHU7YZ 0HHU8YZ 0HPPXYZ 0HPT0YZ0HPT3YZ 0HPT7YZ 0HPT8YZ 0HPU0YZ 0HPU3YZ 0HPU7YZ 0HPU8YZ0HWPXYZ 0HWT0YZ 0HWT3YZ 0HWT7YZ 0HWT8YZ 0HWU0YZ 0HWU3YZ0HWU7YZ 0HWU8YZ 0JHS0YZ 0JHS3YZ 0JHT0YZ 0JHT3YZ 0JHV0YZ0JHV3YZ 0JHW0YZ 0JHW3YZ 0JPS0YZ 0JPS3YZ 0JPT0YZ 0JPT3YZ0JPV0YZ 0JPV3YZ 0JPW0YZ 0JPW3YZ 0JWS0YZ 0JWS3YZ 0JWT0YZ0JWT3YZ 0JWV0YZ 0JWV3YZ 0JWW0YZ 0JWW3YZ 0KD00ZZ 0KD10ZZ0KD20ZZ 0KD30ZZ 0KD40ZZ 0KD50ZZ 0KD60ZZ 0KD70ZZ 0KD80ZZ0KD90ZZ 0KDB0ZZ 0KDC0ZZ 0KDD0ZZ 0KDF0ZZ 0KDG0ZZ 0KDH0ZZ0KDJ0ZZ 0KDK0ZZ 0KDL0ZZ 0KDM0ZZ 0KDN0ZZ 0KDP0ZZ 0KDQ0ZZ0KDR0ZZ 0KDS0ZZ 0KDT0ZZ 0KDV0ZZ 0KDW0ZZ 0KHX0YZ 0KHX3YZ0KHX4YZ 0KHY0YZ 0KHY3YZ 0KHY4YZ 0KPX0YZ 0KPX3YZ 0KPX4YZ0KPY0YZ 0KPY3YZ 0KPY4YZ 0KR007Z 0KR00JZ 0KR00KZ 0KR047Z0KR04JZ 0KR04KZ 0KR107Z 0KR10JZ 0KR10KZ 0KR147Z 0KR14JZ0KR14KZ 0KR207Z 0KR20JZ 0KR20KZ 0KR247Z 0KR24JZ 0KR24KZ0KR307Z 0KR30JZ 0KR30KZ 0KR347Z 0KR34JZ 0KR34KZ 0KR407Z0KR40JZ 0KR40KZ 0KR447Z 0KR44JZ 0KR44KZ 0KR507Z 0KR50JZ0KR50KZ 0KR547Z 0KR54JZ 0KR54KZ 0KR607Z 0KR60JZ 0KR60KZ0KR647Z 0KR64JZ 0KR64KZ 0KR707Z 0KR70JZ 0KR70KZ 0KR747Z0KR74JZ 0KR74KZ 0KR807Z 0KR80JZ 0KR80KZ 0KR847Z 0KR84JZ0KR84KZ 0KR907Z 0KR90JZ 0KR90KZ 0KR947Z 0KR94JZ 0KR94KZ0KRB07Z 0KRB0JZ 0KRB0KZ 0KRB47Z 0KRB4JZ 0KRB4KZ 0KRC07Z

ICD-10 Special Bulletin, No. 12 30 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

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Added Procedure Codes0KRC0JZ 0KRC0KZ 0KRC47Z 0KRC4JZ 0KRC4KZ 0KRD07Z 0KRD0JZ0KRD0KZ 0KRD47Z 0KRD4JZ 0KRD4KZ 0KRF07Z 0KRF0JZ 0KRF0KZ0KRF47Z 0KRF4JZ 0KRF4KZ 0KRG07Z 0KRG0JZ 0KRG0KZ 0KRG47Z0KRG4JZ 0KRG4KZ 0KRH07Z 0KRH0JZ 0KRH0KZ 0KRH47Z 0KRH4JZ0KRH4KZ 0KRJ07Z 0KRJ0JZ 0KRJ0KZ 0KRJ47Z 0KRJ4JZ 0KRJ4KZ0KRK07Z 0KRK0JZ 0KRK0KZ 0KRK47Z 0KRK4JZ 0KRK4KZ 0KRL07Z0KRL0JZ 0KRL0KZ 0KRL47Z 0KRL4JZ 0KRL4KZ 0KRM07Z 0KRM0JZ0KRM0KZ 0KRM47Z 0KRM4JZ 0KRM4KZ 0KRN07Z 0KRN0JZ 0KRN0KZ0KRN47Z 0KRN4JZ 0KRN4KZ 0KRP07Z 0KRP0JZ 0KRP0KZ 0KRP47Z0KRP4JZ 0KRP4KZ 0KRQ07Z 0KRQ0JZ 0KRQ0KZ 0KRQ47Z 0KRQ4JZ0KRQ4KZ 0KRR07Z 0KRR0JZ 0KRR0KZ 0KRR47Z 0KRR4JZ 0KRR4KZ0KRS07Z 0KRS0JZ 0KRS0KZ 0KRS47Z 0KRS4JZ 0KRS4KZ 0KRT07Z0KRT0JZ 0KRT0KZ 0KRT47Z 0KRT4JZ 0KRT4KZ 0KRV07Z 0KRV0JZ0KRV0KZ 0KRV47Z 0KRV4JZ 0KRV4KZ 0KRW07Z 0KRW0JZ 0KRW0KZ0KRW47Z 0KRW4JZ 0KRW4KZ 0KWX0YZ 0KWX3YZ 0KWX4YZ 0KWY0YZ0KWY3YZ 0KWY4YZ 0KXF0Z5 0KXF0Z7 0KXF0Z8 0KXF0Z9 0KXF4Z50KXF4Z7 0KXF4Z8 0KXF4Z9 0KXG0Z5 0KXG0Z7 0KXG0Z8 0KXG0Z90KXG4Z5 0KXG4Z7 0KXG4Z8 0KXG4Z9 0LD00ZZ 0LD10ZZ 0LD20ZZ0LD30ZZ 0LD40ZZ 0LD50ZZ 0LD60ZZ 0LD70ZZ 0LD80ZZ 0LD90ZZ0LDB0ZZ 0LDC0ZZ 0LDD0ZZ 0LDF0ZZ 0LDG0ZZ 0LDH0ZZ 0LDJ0ZZ0LDK0ZZ 0LDL0ZZ 0LDM0ZZ 0LDN0ZZ 0LDP0ZZ 0LDQ0ZZ 0LDR0ZZ0LDS0ZZ 0LDT0ZZ 0LDV0ZZ 0LDW0ZZ 0LHX0YZ 0LHX3YZ 0LHX4YZ0LHY0YZ 0LHY3YZ 0LHY4YZ 0LPX0YZ 0LPX3YZ 0LPX4YZ 0LPY0YZ0LPY3YZ 0LPY4YZ 0LWX0YZ 0LWX3YZ 0LWX4YZ 0LWY0YZ 0LWY3YZ0LWY4YZ 0MHX0YZ 0MHX3YZ 0MHX4YZ 0MHY0YZ 0MHY3YZ 0MHY4YZ0MPX0YZ 0MPX3YZ 0MPX4YZ 0MPY0YZ 0MPY3YZ 0MPY4YZ 0MR007Z0MR00JZ 0MR00KZ 0MR047Z 0MR04JZ 0MR04KZ 0MR107Z 0MR10JZ0MR10KZ 0MR147Z 0MR14JZ 0MR14KZ 0MR207Z 0MR20JZ 0MR20KZ0MR247Z 0MR24JZ 0MR24KZ 0MR307Z 0MR30JZ 0MR30KZ 0MR347Z0MR34JZ 0MR34KZ 0MR407Z 0MR40JZ 0MR40KZ 0MR447Z 0MR44JZ0MR44KZ 0MR507Z 0MR50JZ 0MR50KZ 0MR547Z 0MR54JZ 0MR54KZ0MR607Z 0MR60JZ 0MR60KZ 0MR647Z 0MR64JZ 0MR64KZ 0MR707Z0MR70JZ 0MR70KZ 0MR747Z 0MR74JZ 0MR74KZ 0MR807Z 0MR80JZ0MR80KZ 0MR847Z 0MR84JZ 0MR84KZ 0MR907Z 0MR90JZ 0MR90KZ0MR947Z 0MR94JZ 0MR94KZ 0MRB07Z 0MRB0JZ 0MRB0KZ 0MRB47Z

ICD-10 Special Bulletin, No. 12 31 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

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Added Procedure Codes0MRB4JZ 0MRB4KZ 0MRC07Z 0MRC0JZ 0MRC0KZ 0MRC47Z 0MRC4JZ0MRC4KZ 0MRD07Z 0MRD0JZ 0MRD0KZ 0MRD47Z 0MRD4JZ 0MRD4KZ0MRF07Z 0MRF0JZ 0MRF0KZ 0MRF47Z 0MRF4JZ 0MRF4KZ 0MRG07Z0MRG0JZ 0MRG0KZ 0MRG47Z 0MRG4JZ 0MRG4KZ 0MRH07Z 0MRH0JZ0MRH0KZ 0MRH47Z 0MRH4JZ 0MRH4KZ 0MRJ07Z 0MRJ0JZ 0MRJ0KZ0MRJ47Z 0MRJ4JZ 0MRJ4KZ 0MRK07Z 0MRK0JZ 0MRK0KZ 0MRK47Z0MRK4JZ 0MRK4KZ 0MRL07Z 0MRL0JZ 0MRL0KZ 0MRL47Z 0MRL4JZ0MRL4KZ 0MRM07Z 0MRM0JZ 0MRM0KZ 0MRM47Z 0MRM4JZ 0MRM4KZ0MRN07Z 0MRN0JZ 0MRN0KZ 0MRN47Z 0MRN4JZ 0MRN4KZ 0MRP07Z0MRP0JZ 0MRP0KZ 0MRP47Z 0MRP4JZ 0MRP4KZ 0MRQ07Z 0MRQ0JZ0MRQ0KZ 0MRQ47Z 0MRQ4JZ 0MRQ4KZ 0MRR07Z 0MRR0JZ 0MRR0KZ0MRR47Z 0MRR4JZ 0MRR4KZ 0MRS07Z 0MRS0JZ 0MRS0KZ 0MRS47Z0MRS4JZ 0MRS4KZ 0MRT07Z 0MRT0JZ 0MRT0KZ 0MRT47Z 0MRT4JZ0MRT4KZ 0MRV07Z 0MRV0JZ 0MRV0KZ 0MRV47Z 0MRV4JZ 0MRV4KZ0MRW07Z 0MRW0JZ 0MRW0KZ 0MRW47Z 0MRW4JZ 0MRW4KZ 0MWX0YZ0MWX3YZ 0MWX4YZ 0MWY0YZ 0MWY3YZ 0MWY4YZ 0ND00ZZ 0ND10ZZ0ND30ZZ 0ND40ZZ 0ND50ZZ 0ND60ZZ 0ND70ZZ 0NDB0ZZ 0NDC0ZZ0NDF0ZZ 0NDG0ZZ 0NDH0ZZ 0NDJ0ZZ 0NDK0ZZ 0NDL0ZZ 0NDM0ZZ0NDN0ZZ 0NDP0ZZ 0NDQ0ZZ 0NDR0ZZ 0NDT0ZZ 0NDV0ZZ 0NDX0ZZ0PD00ZZ 0PD10ZZ 0PD20ZZ 0PD30ZZ 0PD40ZZ 0PD50ZZ 0PD60ZZ0PD70ZZ 0PD80ZZ 0PD90ZZ 0PDB0ZZ 0PDC0ZZ 0PDD0ZZ 0PDF0ZZ0PDG0ZZ 0PDH0ZZ 0PDJ0ZZ 0PDK0ZZ 0PDL0ZZ 0PDM0ZZ 0PDN0ZZ0PDP0ZZ 0PDQ0ZZ 0PDR0ZZ 0PDS0ZZ 0PDT0ZZ 0PDV0ZZ 0QD00ZZ0QD10ZZ 0QD20ZZ 0QD30ZZ 0QD40ZZ 0QD50ZZ 0QD60ZZ 0QD70ZZ0QD80ZZ 0QD90ZZ 0QDB0ZZ 0QDC0ZZ 0QDD0ZZ 0QDF0ZZ 0QDG0ZZ0QDH0ZZ 0QDJ0ZZ 0QDK0ZZ 0QDL0ZZ 0QDM0ZZ 0QDN0ZZ 0QDP0ZZ0QDQ0ZZ 0QDR0ZZ 0QDS0ZZ 0QSN042 0QSN052 0QSN0Z2 0QSN3420QSN352 0QSN3Z2 0QSN442 0QSN452 0QSN4Z2 0QSNXZ2 0QSP0420QSP052 0QSP0Z2 0QSP342 0QSP352 0QSP3Z2 0QSP442 0QSP4520QSP4Z2 0QSPXZ2 0SR9069 0SR906A 0SR906Z 0SRB069 0SRB06A0SRB06Z 0SRC069 0SRC06A 0SRC06Z 0SRD069 0SRD06A 0SRD06Z0TH50YZ 0TH53YZ 0TH54YZ 0TH57YZ 0TH58YZ 0TH90YZ 0TH93YZ0TH94YZ 0TH97YZ 0TH98YZ 0THB0YZ 0THB3YZ 0THB4YZ 0THB7YZ0THB8YZ 0THD0YZ 0THD3YZ 0THD4YZ 0THD7YZ 0THD8YZ 0TP50YZ0TP53YZ 0TP54YZ 0TP57YZ 0TP58YZ 0TP90YZ 0TP93YZ 0TP94YZ

ICD-10 Special Bulletin, No. 12 32 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 33: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

Added Procedure Codes0TP97YZ 0TP98YZ 0TPB0YZ 0TPB3YZ 0TPB4YZ 0TPB7YZ 0TPB8YZ0TPD0YZ 0TPD3YZ 0TPD4YZ 0TPD7YZ 0TPD8YZ 0TW50YZ 0TW53YZ0TW54YZ 0TW57YZ 0TW58YZ 0TW90YZ 0TW93YZ 0TW94YZ 0TW97YZ0TW98YZ 0TWB0YZ 0TWB3YZ 0TWB4YZ 0TWB7YZ 0TWB8YZ 0TWD0YZ0TWD3YZ 0TWD4YZ 0TWD7YZ 0TWD8YZ 0U508ZZ 0U518ZZ 0U528ZZ0U548ZZ 0U9080Z 0U908ZX 0U908ZZ 0U9180Z 0U918ZX 0U918ZZ0U9280Z 0U928ZX 0U928ZZ 0U9480Z 0U948ZX 0U948ZZ 0UC08ZZ0UC18ZZ 0UC28ZZ 0UC48ZZ 0UH30YZ 0UH33YZ 0UH34YZ 0UH37YZ0UH38YZ 0UH80YZ 0UH83YZ 0UH84YZ 0UH87YZ 0UH88YZ 0UH90HZ0UHD0YZ 0UHD3YZ 0UHD4YZ 0UHD7YZ 0UHD8YZ 0UHH0YZ 0UHH3YZ0UHH4YZ 0UHH7YZ 0UHH8YZ 0UJ38ZZ 0UN08ZZ 0UN18ZZ 0UN28ZZ0UN48ZZ 0UP30YZ 0UP33YZ 0UP34YZ 0UP37YZ 0UP38YZ 0UP80YZ0UP83YZ 0UP84YZ 0UP87YZ 0UP88YZ 0UPD0YZ 0UPD3YZ 0UPD4YZ0UPD7YZ 0UPD8YZ 0UPH0YZ 0UPH3YZ 0UPH4YZ 0UPH7YZ 0UPH8YZ0UQ08ZZ 0UQ18ZZ 0UQ28ZZ 0UQ48ZZ 0US08ZZ 0US18ZZ 0US28ZZ0US48ZZ 0US58ZZ 0US68ZZ 0US78ZZ 0US97ZZ 0US98ZZ 0USC8ZZ0USF8ZZ 0USG7ZZ 0USG8ZZ 0UT90ZL 0UT94ZL 0UT97ZL 0UT98ZL0UT9FZL 0UW30YZ 0UW33YZ 0UW34YZ 0UW37YZ 0UW38YZ 0UW80YZ0UW83YZ 0UW84YZ 0UW87YZ 0UW88YZ 0UWD0YZ 0UWD3YZ 0UWD4YZ0UWD7YZ 0UWD8YZ 0UWH0YZ 0UWH3YZ 0UWH4YZ 0UWH7YZ 0UWH8YZ0V5F8ZZ 0V5G8ZZ 0V5H8ZZ 0V5J8ZZ 0V5K8ZZ 0V5L8ZZ 0V5N8ZZ0V5P8ZZ 0V5Q8ZZ 0VBF8ZX 0VBF8ZZ 0VBG8ZX 0VBG8ZZ 0VBH8ZX0VBH8ZZ 0VBJ8ZX 0VBJ8ZZ 0VBK8ZX 0VBK8ZZ 0VBL8ZX 0VBL8ZZ0VBN8ZX 0VBN8ZZ 0VBP8ZX 0VBP8ZZ 0VBQ8ZX 0VBQ8ZZ 0VH40YZ0VH43YZ 0VH44YZ 0VH47YZ 0VH48YZ 0VH80YZ 0VH83YZ 0VH84YZ0VH87YZ 0VH88YZ 0VHD0YZ 0VHD3YZ 0VHD4YZ 0VHD7YZ 0VHD8YZ0VHM0YZ 0VHM3YZ 0VHM4YZ 0VHM7YZ 0VHM8YZ 0VHR0YZ 0VHR3YZ0VHR4YZ 0VHR7YZ 0VHR8YZ 0VHS0YZ 0VHS3YZ 0VHS4YZ 0VHS7YZ0VHS8YZ 0VLF8CZ 0VLF8DZ 0VLF8ZZ 0VLG8CZ 0VLG8DZ 0VLG8ZZ0VLH8CZ 0VLH8DZ 0VLH8ZZ 0VLN8CZ 0VLN8DZ 0VLN8ZZ 0VLP8CZ0VLP8DZ 0VLP8ZZ 0VLQ8CZ 0VLQ8DZ 0VLQ8ZZ 0VNF8ZZ 0VNG8ZZ0VNH8ZZ 0VNJ8ZZ 0VNK8ZZ 0VNL8ZZ 0VNN8ZZ 0VNP8ZZ 0VNQ8ZZ0VP40YZ 0VP43YZ 0VP44YZ 0VP47YZ 0VP48YZ 0VP80YZ 0VP83YZ0VP84YZ 0VP87YZ 0VP88YZ 0VPD0YZ 0VPD3YZ 0VPD4YZ 0VPD7YZ0VPD8YZ 0VPM0YZ 0VPM3YZ 0VPM4YZ 0VPM7YZ 0VPM8YZ 0VPR0YZ

ICD-10 Special Bulletin, No. 12 33 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

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Added Procedure Codes0VPR3YZ 0VPR4YZ 0VPR7YZ 0VPR8YZ 0VPS0YZ 0VPS3YZ 0VPS4YZ0VPS7YZ 0VPS8YZ 0VQF8ZZ 0VQG8ZZ 0VQH8ZZ 0VQJ8ZZ 0VQK8ZZ0VQL8ZZ 0VQN8ZZ 0VQP8ZZ 0VQQ8ZZ 0VS98ZZ 0VSB8ZZ 0VSC8ZZ0VSF8ZZ 0VSG8ZZ 0VSH8ZZ 0VU187Z 0VU18JZ 0VU18KZ 0VU287Z0VU28JZ 0VU28KZ 0VU387Z 0VU38JZ 0VU38KZ 0VU687Z 0VU68JZ0VU68KZ 0VU787Z 0VU78JZ 0VU78KZ 0VUF87Z 0VUF8JZ 0VUF8KZ0VUG87Z 0VUG8JZ 0VUG8KZ 0VUH87Z 0VUH8JZ 0VUH8KZ 0VUJ87Z0VUJ8JZ 0VUJ8KZ 0VUK87Z 0VUK8JZ 0VUK8KZ 0VUL87Z 0VUL8JZ0VUL8KZ 0VUN87Z 0VUN8JZ 0VUN8KZ 0VUP87Z 0VUP8JZ 0VUP8KZ0VUQ87Z 0VUQ8JZ 0VUQ8KZ 0VW40YZ 0VW43YZ 0VW44YZ 0VW47YZ0VW48YZ 0VW80YZ 0VW83YZ 0VW84YZ 0VW87YZ 0VW88YZ 0VWD0YZ0VWD3YZ 0VWD4YZ 0VWD7YZ 0VWD8YZ 0VWM0YZ 0VWM3YZ 0VWM4YZ0VWM7YZ 0VWM8YZ 0VWR0YZ 0VWR3YZ 0VWR4YZ 0VWR7YZ 0VWR8YZ0VWS0YZ 0VWS3YZ 0VWS4YZ 0VWS7YZ 0VWS8YZ 0WB30ZX 0WB30ZZ0WB33ZX 0WB33ZZ 0WB34ZX 0WB34ZZ 0WB3XZX 0WB3XZZ 0WCH0ZZ0WCH3ZZ 0WCH4ZZ 0WCHXZZ 0WQ30ZZ 0WQ33ZZ 0WQ34ZZ 0WQ3XZZ10D17Z9 10D18Z9 3E01340 3E074GC 3E084GC 3E0E4GC 3E0F4GC3E0G4GC 3E0H4GC 3E0J4GC 3E0K4GC 3E0L35Z 3E0L45Z 3E0L4GC3E0M35Z 3E0M45Z 3E0M4GC 3E0N4GC 3E0P35Z 3E0P3VZ 3E0P45Z3E0P4GC 3E0P7VZ 3E0U4GC 3E0Y4GC 4A0074Z 4A0084Z 4A008BD4A008KD 4A008RD 4A01729 4A0172B 4A0174Z 4A01829 4A0182B4A0184Z 4A0274Z 4A0279Z 4A027CZ 4A027FZ 4A027HZ 4A027N64A027N7 4A027N8 4A027PZ 4A0284Z 4A0289Z 4A028CZ 4A028FZ4A028HZ 4A028N6 4A028N7 4A028N8 4A028PZ 4A0675Z 4A067BZ4A0685Z 4A068BZ 4A0D83Z 4A0D85Z 4A0D8BZ 4A0D8DZ 4A0D8LZ4A1074G 4A1074Z 4A1084G 4A1084Z 4A108BD 4A108KD 4A108RD4A11729 4A1172B 4A1174G 4A1174Z 4A11829 4A1182B 4A1184G4A1184Z 4A1274Z 4A1279Z 4A127CZ 4A127FZ 4A127HZ 4A1284Z4A1289Z 4A128CZ 4A128FZ 4A128HZ 4A1675Z 4A167BZ 4A1685Z4A168BZ 4A1D83Z 4A1D85Z 4A1D8BZ 4A1D8DZ 4A1D8LZ 5A0920Z5A1D70Z 5A1D80Z 5A1D90Z B31U010 B31U0ZZ B31U110 B31U1ZZB31UY10 B31UYZZ B31UZZZ XK02303 XNS0332 XNS3332 XNS4332XRG00F3 XRG10F3 XRG20F3 XRG40F3 XRG60F3 XRG70F3 XRG80F3XRGA0F3 XRGB0F3 XRGC0F3 XRGD0F3 XW033A3 XW033B3 XW033C3XW033F3 XW043A3 XW043B3 XW043C3 XW043F3 XY0VX83

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The following table lists all of the discontinued surgical procedure codes:Discontinued Procedure Codes04VC0FZ 04VC3FZ 04VC4FZ 04VD0FZ 04VD3FZ 04VD4FZ 06183DY06184DY 061R07Y 061R09Y 061R0AY 061R0JY 061R0KY 061R0ZY061R47Y 061R49Y 061R4AY 061R4JY 061R4KY 061R4ZY 061S07Y061S09Y 061S0AY 061S0JY 061S0KY 061S0ZY 061S47Y 061S49Y061S4AY 061S4JY 061S4KY 061S4ZY 065R0ZZ 065R3ZZ 065R4ZZ065S0ZZ 065S3ZZ 065S4ZZ 067R0DZ 067R0ZZ 067R3DZ 067R3ZZ067R4DZ 067R4ZZ 067S0DZ 067S0ZZ 067S3DZ 067S3ZZ 067S4DZ067S4ZZ 069R00Z 069R0ZX 069R0ZZ 069R30Z 069R3ZX 069R3ZZ069R40Z 069R4ZX 069R4ZZ 069S00Z 069S0ZX 069S0ZZ 069S30Z069S3ZX 069S3ZZ 069S40Z 069S4ZX 069S4ZZ 06BR0ZX 06BR0ZZ06BR3ZX 06BR3ZZ 06BR4ZX 06BR4ZZ 06BS0ZX 06BS0ZZ 06BS3ZX06BS3ZZ 06BS4ZX 06BS4ZZ 06CR0ZZ 06CR3ZZ 06CR4ZZ 06CS0ZZ06CS3ZZ 06CS4ZZ 06DR0ZZ 06DR3ZZ 06DR4ZZ 06DS0ZZ 06DS3ZZ06DS4ZZ 06HR03Z 06HR0DZ 06HR33Z 06HR3DZ 06HR43Z 06HR4DZ06HS03Z 06HS0DZ 06HS33Z 06HS3DZ 06HS43Z 06HS4DZ 06LR0CZ06LR0DZ 06LR0ZZ 06LR3CZ 06LR3DZ 06LR3ZZ 06LR4CZ 06LR4DZ06LR4ZZ 06LS0CZ 06LS0DZ 06LS0ZZ 06LS3CZ 06LS3DZ 06LS3ZZ06LS4CZ 06LS4DZ 06LS4ZZ 06NR0ZZ 06NR3ZZ 06NR4ZZ 06NS0ZZ06NS3ZZ 06NS4ZZ 06QR0ZZ 06QR3ZZ 06QR4ZZ 06QS0ZZ 06QS3ZZ06QS4ZZ 06RR07Z 06RR0JZ 06RR0KZ 06RR47Z 06RR4JZ 06RR4KZ06RS07Z 06RS0JZ 06RS0KZ 06RS47Z 06RS4JZ 06RS4KZ 06SR0ZZ06SR3ZZ 06SR4ZZ 06SS0ZZ 06SS3ZZ 06SS4ZZ 06UR07Z 06UR0JZ06UR0KZ 06UR37Z 06UR3JZ 06UR3KZ 06UR47Z 06UR4JZ 06UR4KZ06US07Z 06US0JZ 06US0KZ 06US37Z 06US3JZ 06US3KZ 06US47Z06US4JZ 06US4KZ 06VR0CZ 06VR0DZ 06VR0ZZ 06VR3CZ 06VR3DZ06VR3ZZ 06VR4CZ 06VR4DZ 06VR4ZZ 06VS0CZ 06VS0DZ 06VS0ZZ06VS3CZ 06VS3DZ 06VS3ZZ 06VS4CZ 06VS4DZ 06VS4ZZ 0B5R0ZZ0B5R3ZZ 0B5R4ZZ 0B5S0ZZ 0B5S3ZZ 0B5S4ZZ 0B9R00Z 0B9R0ZX0B9R0ZZ 0B9R30Z 0B9R3ZX 0B9R3ZZ 0B9R40Z 0B9R4ZX 0B9R4ZZ0B9S00Z 0B9S0ZX 0B9S0ZZ 0B9S30Z 0B9S3ZX 0B9S3ZZ 0B9S40Z0B9S4ZX 0B9S4ZZ 0BBR0ZX 0BBR0ZZ 0BBR3ZX 0BBR3ZZ 0BBR4ZX0BBR4ZZ 0BBS0ZX 0BBS0ZZ 0BBS3ZX 0BBS3ZZ 0BBS4ZX 0BBS4ZZ0BCR0ZZ 0BCR3ZZ 0BCR4ZZ 0BCS0ZZ 0BCS3ZZ 0BCS4ZZ 0BHR02Z0BHR0MZ 0BHR32Z 0BHR3MZ 0BHR42Z 0BHR4MZ 0BHS02Z 0BHS0MZ

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Discontinued Procedure Codes0BHS32Z 0BHS3MZ 0BHS42Z 0BHS4MZ 0BMR0ZZ 0BMS0ZZ 0BNR0ZZ0BNR3ZZ 0BNR4ZZ 0BNS0ZZ 0BNS3ZZ 0BNS4ZZ 0BQR0ZZ 0BQR3ZZ0BQR4ZZ 0BQS0ZZ 0BQS3ZZ 0BQS4ZZ 0BSR0ZZ 0BSS0ZZ 0BTR0ZZ0BTR4ZZ 0BTS0ZZ 0BTS4ZZ 0BUR07Z 0BUR0JZ 0BUR0KZ 0BUR47Z0BUR4JZ 0BUR4KZ 0BUS07Z 0BUS0JZ 0BUS0KZ 0BUS47Z 0BUS4JZ0BUS4KZ 0D5S0ZZ 0D5S3ZZ 0D5S4ZZ 0D5T0ZZ 0D5T3ZZ 0D5T4ZZ0D9S00Z 0D9S0ZX 0D9S0ZZ 0D9S30Z 0D9S3ZX 0D9S3ZZ 0D9S40Z0D9S4ZX 0D9S4ZZ 0D9T00Z 0D9T0ZX 0D9T0ZZ 0D9T30Z 0D9T3ZX0D9T3ZZ 0D9T40Z 0D9T4ZX 0D9T4ZZ 0DBS0ZX 0DBS0ZZ 0DBS3ZX0DBS3ZZ 0DBS4ZX 0DBS4ZZ 0DBT0ZX 0DBT0ZZ 0DBT3ZX 0DBT3ZZ0DBT4ZX 0DBT4ZZ 0DCS0ZZ 0DCS3ZZ 0DCS4ZZ 0DCT0ZZ 0DCT3ZZ0DCT4ZZ 0DNS0ZZ 0DNS3ZZ 0DNS4ZZ 0DNT0ZZ 0DNT3ZZ 0DNT4ZZ0DQS0ZZ 0DQS3ZZ 0DQS4ZZ 0DQT0ZZ 0DQT3ZZ 0DQT4ZZ 0DRS07Z0DRS0JZ 0DRS0KZ 0DRS47Z 0DRS4JZ 0DRS4KZ 0DRT07Z 0DRT0JZ0DRT0KZ 0DRT47Z 0DRT4JZ 0DRT4KZ 0DTS0ZZ 0DTS4ZZ 0DTT0ZZ0DTT4ZZ 0DUS07Z 0DUS0JZ 0DUS0KZ 0DUS47Z 0DUS4JZ 0DUS4KZ0DUT07Z 0DUT0JZ 0DUT0KZ 0DUT47Z 0DUT4JZ 0DUT4KZ 0N520ZZ0N523ZZ 0N524ZZ 0N580ZZ 0N583ZZ 0N584ZZ 0N5D0ZZ 0N5D3ZZ0N5D4ZZ 0N5S0ZZ 0N5S3ZZ 0N5S4ZZ 0N820ZZ 0N823ZZ 0N824ZZ0N880ZZ 0N883ZZ 0N884ZZ 0N8D0ZZ 0N8D3ZZ 0N8D4ZZ 0N8S0ZZ0N8S3ZZ 0N8S4ZZ 0N9200Z 0N920ZX 0N920ZZ 0N9230Z 0N923ZX0N923ZZ 0N9240Z 0N924ZX 0N924ZZ 0N9800Z 0N980ZX 0N980ZZ0N9830Z 0N983ZX 0N983ZZ 0N9840Z 0N984ZX 0N984ZZ 0N9D00Z0N9D0ZX 0N9D0ZZ 0N9D30Z 0N9D3ZX 0N9D3ZZ 0N9D40Z 0N9D4ZX0N9D4ZZ 0N9S00Z 0N9S0ZX 0N9S0ZZ 0N9S30Z 0N9S3ZX 0N9S3ZZ0N9S40Z 0N9S4ZX 0N9S4ZZ 0NB20ZX 0NB20ZZ 0NB23ZX 0NB23ZZ0NB24ZX 0NB24ZZ 0NB80ZX 0NB80ZZ 0NB83ZX 0NB83ZZ 0NB84ZX0NB84ZZ 0NBD0ZX 0NBD0ZZ 0NBD3ZX 0NBD3ZZ 0NBD4ZX 0NBD4ZZ0NBS0ZX 0NBS0ZZ 0NBS3ZX 0NBS3ZZ 0NBS4ZX 0NBS4ZZ 0NC20ZZ0NC23ZZ 0NC24ZZ 0NC80ZZ 0NC83ZZ 0NC84ZZ 0NCD0ZZ 0NCD3ZZ0NCD4ZZ 0NCS0ZZ 0NCS3ZZ 0NCS4ZZ 0NH204Z 0NH234Z 0NH244Z0NH804Z 0NH834Z 0NH844Z 0NHD04Z 0NHD34Z 0NHD44Z 0NHS04Z0NHS05Z 0NHS34Z 0NHS35Z 0NHS44Z 0NHS45Z 0NN20ZZ 0NN23ZZ0NN24ZZ 0NN80ZZ 0NN83ZZ 0NN84ZZ 0NND0ZZ 0NND3ZZ 0NND4ZZ0NNS0ZZ 0NNS3ZZ 0NNS4ZZ 0NQ20ZZ 0NQ23ZZ 0NQ24ZZ 0NQ2XZZ0NQ80ZZ 0NQ83ZZ 0NQ84ZZ 0NQ8XZZ 0NQD0ZZ 0NQD3ZZ 0NQD4ZZ

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Discontinued Procedure Codes0NQDXZZ 0NQS0ZZ 0NQS3ZZ 0NQS4ZZ 0NQSXZZ 0NR207Z 0NR20JZ0NR20KZ 0NR237Z 0NR23JZ 0NR23KZ 0NR247Z 0NR24JZ 0NR24KZ0NR807Z 0NR80JZ 0NR80KZ 0NR837Z 0NR83JZ 0NR83KZ 0NR847Z0NR84JZ 0NR84KZ 0NRD07Z 0NRD0JZ 0NRD0KZ 0NRD37Z 0NRD3JZ0NRD3KZ 0NRD47Z 0NRD4JZ 0NRD4KZ 0NRS07Z 0NRS0JZ 0NRS0KZ0NRS37Z 0NRS3JZ 0NRS3KZ 0NRS47Z 0NRS4JZ 0NRS4KZ 0NS204Z0NS20ZZ 0NS234Z 0NS23ZZ 0NS244Z 0NS24ZZ 0NS2XZZ 0NS804Z0NS80ZZ 0NS834Z 0NS83ZZ 0NS844Z 0NS84ZZ 0NS8XZZ 0NSD04Z0NSD0ZZ 0NSD34Z 0NSD3ZZ 0NSD44Z 0NSD4ZZ 0NSDXZZ 0NSS04Z0NSS05Z 0NSS0ZZ 0NSS34Z 0NSS35Z 0NSS3ZZ 0NSS44Z 0NSS45Z0NSS4ZZ 0NSSXZZ 0NT20ZZ 0NT80ZZ 0NTD0ZZ 0NTS0ZZ 0NU207Z0NU20JZ 0NU20KZ 0NU237Z 0NU23JZ 0NU23KZ 0NU247Z 0NU24JZ0NU24KZ 0NU807Z 0NU80JZ 0NU80KZ 0NU837Z 0NU83JZ 0NU83KZ0NU847Z 0NU84JZ 0NU84KZ 0NUD07Z 0NUD0JZ 0NUD0KZ 0NUD37Z0NUD3JZ 0NUD3KZ 0NUD47Z 0NUD4JZ 0NUD4KZ 0NUS07Z 0NUS0JZ0NUS0KZ 0NUS37Z 0NUS3JZ 0NUS3KZ 0NUS47Z 0NUS4JZ 0NUS4KZ0RG00A1 0RG03A1 0RG04A1 0RG10A1 0RG13A1 0RG14A1 0RG20A10RG23A1 0RG24A1 0RG40A1 0RG43A1 0RG44A1 0RG60A1 0RG63A10RG64A1 0RG70A1 0RG73A1 0RG74A1 0RG80A1 0RG83A1 0RG84A10RGA0A1 0RGA3A1 0RGA4A1 0SG00A1 0SG03A1 0SG04A1 0SG10A10SG13A1 0SG14A1 0SG30A1 0SG33A1 0SG34A1 3E0F7DZ 3E0F8DZ3E0R3CZ 3E0S3CZ 3E0T3CZ 3E0X3CZ 5A1D00Z 5A1D60Z XNS0432XNS3432 XNS4432

The following table lists all of the revised surgical procedure codes:Revised Procedure Codes009300Z 00930ZX 00930ZZ 009330Z 00933ZX 00933ZZ 009340Z00934ZX 00934ZZ 009400Z 00940ZX 00940ZZ 009430Z 00943ZX00943ZZ 009440Z 00944ZX 00944ZZ 009500Z 00950ZX 00950ZZ009530Z 00953ZX 00953ZZ 009540Z 00954ZX 00954ZZ 00C30ZZ00C33ZZ 00C34ZZ 00C40ZZ 00C43ZZ 00C44ZZ 00C50ZZ 00C53ZZ00C54ZZ 00F30ZZ 00F33ZZ 00F34ZZ 00F3XZZ 00F40ZZ 00F43ZZ00F44ZZ 00F4XZZ 00F50ZZ 00F53ZZ 00F54ZZ 00F5XZZ 02HA0RS02HA0RZ 02HA3RS 02HA3RZ 02HA4RS 02HA4RZ 02PA0RZ 02PA3RZ02PA4RZ 02WA0RZ 02WA3RZ 02WA4RZ 02WAXRZ 061P07Y 061P09Y061P0AY 061P0JY 061P0KY 061P0ZY 061P47Y 061P49Y 061P4AY

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Revised Procedure Codes061P4JY 061P4KY 061P4ZY 061Q07Y 061Q09Y 061Q0AY 061Q0JY061Q0KY 061Q0ZY 061Q47Y 061Q49Y 061Q4AY 061Q4JY 061Q4KY061Q4ZY 065P0ZZ 065P3ZZ 065P4ZZ 065Q0ZZ 065Q3ZZ 065Q4ZZ067P0DZ 067P0ZZ 067P3DZ 067P3ZZ 067P4DZ 067P4ZZ 067Q0DZ067Q0ZZ 067Q3DZ 067Q3ZZ 067Q4DZ 067Q4ZZ 069P00Z 069P0ZX069P0ZZ 069P30Z 069P3ZX 069P3ZZ 069P40Z 069P4ZX 069P4ZZ069Q00Z 069Q0ZX 069Q0ZZ 069Q30Z 069Q3ZX 069Q3ZZ 069Q40Z069Q4ZX 069Q4ZZ 06BP0ZX 06BP0ZZ 06BP3ZX 06BP3ZZ 06BP4ZX06BP4ZZ 06BQ0ZX 06BQ0ZZ 06BQ3ZX 06BQ3ZZ 06BQ4ZX 06BQ4ZZ06CP0ZZ 06CP3ZZ 06CP4ZZ 06CQ0ZZ 06CQ3ZZ 06CQ4ZZ 06DP0ZZ06DP3ZZ 06DP4ZZ 06DQ0ZZ 06DQ3ZZ 06DQ4ZZ 06HP03Z 06HP0DZ06HP33Z 06HP3DZ 06HP43Z 06HP4DZ 06HQ03Z 06HQ0DZ 06HQ33Z06HQ3DZ 06HQ43Z 06HQ4DZ 06LP0CZ 06LP0DZ 06LP0ZZ 06LP3CZ06LP3DZ 06LP3ZZ 06LP4CZ 06LP4DZ 06LP4ZZ 06LQ0CZ 06LQ0DZ06LQ0ZZ 06LQ3CZ 06LQ3DZ 06LQ3ZZ 06LQ4CZ 06LQ4DZ 06LQ4ZZ06NP0ZZ 06NP3ZZ 06NP4ZZ 06NQ0ZZ 06NQ3ZZ 06NQ4ZZ 06QP0ZZ06QP3ZZ 06QP4ZZ 06QQ0ZZ 06QQ3ZZ 06QQ4ZZ 06RP07Z 06RP0JZ06RP0KZ 06RP47Z 06RP4JZ 06RP4KZ 06RQ07Z 06RQ0JZ 06RQ0KZ06RQ47Z 06RQ4JZ 06RQ4KZ 06SP0ZZ 06SP3ZZ 06SP4ZZ 06SQ0ZZ06SQ3ZZ 06SQ4ZZ 06UP07Z 06UP0JZ 06UP0KZ 06UP37Z 06UP3JZ06UP3KZ 06UP47Z 06UP4JZ 06UP4KZ 06UQ07Z 06UQ0JZ 06UQ0KZ06UQ37Z 06UQ3JZ 06UQ3KZ 06UQ47Z 06UQ4JZ 06UQ4KZ 06VP0CZ06VP0DZ 06VP0ZZ 06VP3CZ 06VP3DZ 06VP3ZZ 06VP4CZ 06VP4DZ06VP4ZZ 06VQ0CZ 06VQ0DZ 06VQ0ZZ 06VQ3CZ 06VQ3DZ 06VQ3ZZ06VQ4CZ 06VQ4DZ 06VQ4ZZ 090K07Z 090K0JZ 090K0KZ 090K0ZZ090K37Z 090K3JZ 090K3KZ 090K3ZZ 090K47Z 090K4JZ 090K4KZ090K4ZZ 090KX7Z 090KXJZ 090KXKZ 090KXZZ 092KX0Z 092KXYZ095K0ZZ 095K3ZZ 095K4ZZ 095KXZZ 099K00Z 099K0ZX 099K0ZZ099K30Z 099K3ZX 099K3ZZ 099K40Z 099K4ZX 099K4ZZ 099KX0Z099KXZX 099KXZZ 09BK0ZX 09BK0ZZ 09BK3ZX 09BK3ZZ 09BK4ZX09BK4ZZ 09BKXZX 09BKXZZ 09CK0ZZ 09CK3ZZ 09CK4ZZ 09CKXZZ09JK0ZZ 09JK3ZZ 09JK4ZZ 09JKXZZ 09MKXZZ 09NK0ZZ 09NK3ZZ09NK4ZZ 09NKXZZ 09PK00Z 09PK07Z 09PK0DZ 09PK0JZ 09PK0KZ09PK30Z 09PK37Z 09PK3DZ 09PK3JZ 09PK3KZ 09PK40Z 09PK47Z09PK4DZ 09PK4JZ 09PK4KZ 09PK70Z 09PK77Z 09PK7DZ 09PK7JZ09PK7KZ 09PK80Z 09PK87Z 09PK8DZ 09PK8JZ 09PK8KZ 09PKX0Z

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Revised Procedure Codes09PKX7Z 09PKXDZ 09PKXJZ 09PKXKZ 09QK0ZZ 09QK3ZZ 09QK4ZZ09QKXZZ 09RK07Z 09RK0JZ 09RK0KZ 09RKX7Z 09RKXJZ 09RKXKZ09SK0ZZ 09SK4ZZ 09SKXZZ 09TK0ZZ 09TK4ZZ 09TKXZZ 09UK07Z09UK0JZ 09UK0KZ 09UKX7Z 09UKXJZ 09UKXKZ 09WK00Z 09WK07Z09WK0DZ 09WK0JZ 09WK0KZ 09WK30Z 09WK37Z 09WK3DZ 09WK3JZ09WK3KZ 09WK40Z 09WK47Z 09WK4DZ 09WK4JZ 09WK4KZ 09WK70Z09WK77Z 09WK7DZ 09WK7JZ 09WK7KZ 09WK80Z 09WK87Z 09WK8DZ09WK8JZ 09WK8KZ 09WKX0Z 09WKX7Z 09WKXDZ 09WKXJZ 09WKXKZ0H5AXZD 0H5AXZZ 0H8AXZZ 0H9AX0Z 0H9AXZX 0H9AXZZ 0HBAXZX0HBAXZZ 0HCAXZZ 0HDAXZZ 0HMAXZZ 0HNAXZZ 0HQAXZZ 0HRAX730HRAX74 0HRAXJ3 0HRAXJ4 0HRAXJZ 0HRAXK3 0HRAXK4 0HXAXZZ0J040ZZ 0J043ZZ 0J050ZZ 0J053ZZ 0J540ZZ 0J543ZZ 0J550ZZ0J553ZZ 0J840ZZ 0J843ZZ 0J850ZZ 0J853ZZ 0J9400Z 0J940ZX0J940ZZ 0J9430Z 0J943ZX 0J943ZZ 0J9500Z 0J950ZX 0J950ZZ0J9530Z 0J953ZX 0J953ZZ 0JB40ZX 0JB40ZZ 0JB43ZX 0JB43ZZ0JB50ZX 0JB50ZZ 0JB53ZX 0JB53ZZ 0JC40ZZ 0JC43ZZ 0JC50ZZ0JC53ZZ 0JD40ZZ 0JD43ZZ 0JD50ZZ 0JD53ZZ 0JH40NZ 0JH43NZ0JH50NZ 0JH53NZ 0JH60WZ 0JH60XZ 0JH63WZ 0JH63XZ 0JH80WZ0JH80XZ 0JH83WZ 0JH83XZ 0JHD0WZ 0JHD0XZ 0JHD3WZ 0JHD3XZ0JHF0WZ 0JHF0XZ 0JHF3WZ 0JHF3XZ 0JHG0WZ 0JHG0XZ 0JHG3WZ0JHG3XZ 0JHH0WZ 0JHH0XZ 0JHH3WZ 0JHH3XZ 0JHL0WZ 0JHL0XZ0JHL3WZ 0JHL3XZ 0JHM0WZ 0JHM0XZ 0JHM3WZ 0JHM3XZ 0JHN0WZ0JHN0XZ 0JHN3WZ 0JHN3XZ 0JHP0WZ 0JHP0XZ 0JHP3WZ 0JHP3XZ0JN40ZZ 0JN43ZZ 0JN4XZZ 0JN50ZZ 0JN53ZZ 0JN5XZZ 0JPT0WZ0JPT0XZ 0JPT3WZ 0JPT3XZ 0JPTXXZ 0JPV0WZ 0JPV0XZ 0JPV3WZ0JPV3XZ 0JPVXXZ 0JPW0WZ 0JPW0XZ 0JPW3WZ 0JPW3XZ 0JPWXXZ0JQ40ZZ 0JQ43ZZ 0JQ50ZZ 0JQ53ZZ 0JR407Z 0JR40JZ 0JR40KZ0JR437Z 0JR43JZ 0JR43KZ 0JR507Z 0JR50JZ 0JR50KZ 0JR537Z0JR53JZ 0JR53KZ 0JU407Z 0JU40JZ 0JU40KZ 0JU437Z 0JU43JZ0JU43KZ 0JU507Z 0JU50JZ 0JU50KZ 0JU537Z 0JU53JZ 0JU53KZ0JWT0WZ 0JWT0XZ 0JWT3WZ 0JWT3XZ 0JWTXWZ 0JWTXXZ 0JWV0WZ0JWV0XZ 0JWV3WZ 0JWV3XZ 0JWVXWZ 0JWVXXZ 0JWW0WZ 0JWW0XZ0JWW3WZ 0JWW3XZ 0JWWXWZ 0JWWXXZ 0JX40ZB 0JX40ZC 0JX40ZZ0JX43ZB 0JX43ZC 0JX43ZZ 0JX50ZB 0JX50ZC 0JX50ZZ 0JX53ZB0JX53ZC 0JX53ZZ 0M5C0ZZ 0M5C3ZZ 0M5C4ZZ 0M5D0ZZ 0M5D3ZZ0M5D4ZZ 0M5F0ZZ 0M5F3ZZ 0M5F4ZZ 0M5G0ZZ 0M5G3ZZ 0M5G4ZZ

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CPT only copyright 2016 American Medical Association. All rights reserved.

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Revised Procedure Codes0M8C0ZZ 0M8C3ZZ 0M8C4ZZ 0M8D0ZZ 0M8D3ZZ 0M8D4ZZ 0M8F0ZZ0M8F3ZZ 0M8F4ZZ 0M8G0ZZ 0M8G3ZZ 0M8G4ZZ 0M9C00Z 0M9C0ZX0M9C0ZZ 0M9C30Z 0M9C3ZX 0M9C3ZZ 0M9C40Z 0M9C4ZX 0M9C4ZZ0M9D00Z 0M9D0ZX 0M9D0ZZ 0M9D30Z 0M9D3ZX 0M9D3ZZ 0M9D40Z0M9D4ZX 0M9D4ZZ 0M9F00Z 0M9F0ZX 0M9F0ZZ 0M9F30Z 0M9F3ZX0M9F3ZZ 0M9F40Z 0M9F4ZX 0M9F4ZZ 0M9G00Z 0M9G0ZX 0M9G0ZZ0M9G30Z 0M9G3ZX 0M9G3ZZ 0M9G40Z 0M9G4ZX 0M9G4ZZ 0MBC0ZX0MBC0ZZ 0MBC3ZX 0MBC3ZZ 0MBC4ZX 0MBC4ZZ 0MBD0ZX 0MBD0ZZ0MBD3ZX 0MBD3ZZ 0MBD4ZX 0MBD4ZZ 0MBF0ZX 0MBF0ZZ 0MBF3ZX0MBF3ZZ 0MBF4ZX 0MBF4ZZ 0MBG0ZX 0MBG0ZZ 0MBG3ZX 0MBG3ZZ0MBG4ZX 0MBG4ZZ 0MCC0ZZ 0MCC3ZZ 0MCC4ZZ 0MCD0ZZ 0MCD3ZZ0MCD4ZZ 0MCF0ZZ 0MCF3ZZ 0MCF4ZZ 0MCG0ZZ 0MCG3ZZ 0MCG4ZZ0MDC0ZZ 0MDC3ZZ 0MDC4ZZ 0MDD0ZZ 0MDD3ZZ 0MDD4ZZ 0MDF0ZZ0MDF3ZZ 0MDF4ZZ 0MDG0ZZ 0MDG3ZZ 0MDG4ZZ 0MMC0ZZ 0MMC4ZZ0MMD0ZZ 0MMD4ZZ 0MMF0ZZ 0MMF4ZZ 0MMG0ZZ 0MMG4ZZ 0MNC0ZZ0MNC3ZZ 0MNC4ZZ 0MNCXZZ 0MND0ZZ 0MND3ZZ 0MND4ZZ 0MNDXZZ0MNF0ZZ 0MNF3ZZ 0MNF4ZZ 0MNFXZZ 0MNG0ZZ 0MNG3ZZ 0MNG4ZZ0MNGXZZ 0MQC0ZZ 0MQC3ZZ 0MQC4ZZ 0MQD0ZZ 0MQD3ZZ 0MQD4ZZ0MQF0ZZ 0MQF3ZZ 0MQF4ZZ 0MQG0ZZ 0MQG3ZZ 0MQG4ZZ 0MSC0ZZ0MSC4ZZ 0MSD0ZZ 0MSD4ZZ 0MSF0ZZ 0MSF4ZZ 0MSG0ZZ 0MSG4ZZ0MTC0ZZ 0MTC4ZZ 0MTD0ZZ 0MTD4ZZ 0MTF0ZZ 0MTF4ZZ 0MTG0ZZ0MTG4ZZ 0MUC07Z 0MUC0JZ 0MUC0KZ 0MUC47Z 0MUC4JZ 0MUC4KZ0MUD07Z 0MUD0JZ 0MUD0KZ 0MUD47Z 0MUD4JZ 0MUD4KZ 0MUF07Z0MUF0JZ 0MUF0KZ 0MUF47Z 0MUF4JZ 0MUF4KZ 0MUG07Z 0MUG0JZ0MUG0KZ 0MUG47Z 0MUG4JZ 0MUG4KZ 0MXC0ZZ 0MXC4ZZ 0MXD0ZZ0MXD4ZZ 0MXF0ZZ 0MXF4ZZ 0MXG0ZZ 0MXG4ZZ 0N510ZZ 0N513ZZ0N514ZZ 0N570ZZ 0N573ZZ 0N574ZZ 0N5C0ZZ 0N5C3ZZ 0N5C4ZZ0N5R0ZZ 0N5R3ZZ 0N5R4ZZ 0N810ZZ 0N813ZZ 0N814ZZ 0N870ZZ0N873ZZ 0N874ZZ 0N8C0ZZ 0N8C3ZZ 0N8C4ZZ 0N8R0ZZ 0N8R3ZZ0N8R4ZZ 0N9100Z 0N910ZX 0N910ZZ 0N9130Z 0N913ZX 0N913ZZ0N9140Z 0N914ZX 0N914ZZ 0N9700Z 0N970ZX 0N970ZZ 0N9730Z0N973ZX 0N973ZZ 0N9740Z 0N974ZX 0N974ZZ 0N9C00Z 0N9C0ZX0N9C0ZZ 0N9C30Z 0N9C3ZX 0N9C3ZZ 0N9C40Z 0N9C4ZX 0N9C4ZZ0N9R00Z 0N9R0ZX 0N9R0ZZ 0N9R30Z 0N9R3ZX 0N9R3ZZ 0N9R40Z0N9R4ZX 0N9R4ZZ 0NB10ZX 0NB10ZZ 0NB13ZX 0NB13ZZ 0NB14ZX0NB14ZZ 0NB70ZX 0NB70ZZ 0NB73ZX 0NB73ZZ 0NB74ZX 0NB74ZZ

ICD-10 Special Bulletin, No. 12 40 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 41: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

Revised Procedure Codes0NBC0ZX 0NBC0ZZ 0NBC3ZX 0NBC3ZZ 0NBC4ZX 0NBC4ZZ 0NBR0ZX0NBR0ZZ 0NBR3ZX 0NBR3ZZ 0NBR4ZX 0NBR4ZZ 0NC10ZZ 0NC13ZZ0NC14ZZ 0NC70ZZ 0NC73ZZ 0NC74ZZ 0NCC0ZZ 0NCC3ZZ 0NCC4ZZ0NCR0ZZ 0NCR3ZZ 0NCR4ZZ 0NH104Z 0NH134Z 0NH144Z 0NH704Z0NH734Z 0NH744Z 0NHC04Z 0NHC34Z 0NHC44Z 0NHR04Z 0NHR05Z0NHR34Z 0NHR35Z 0NHR44Z 0NHR45Z 0NN10ZZ 0NN13ZZ 0NN14ZZ0NN70ZZ 0NN73ZZ 0NN74ZZ 0NNC0ZZ 0NNC3ZZ 0NNC4ZZ 0NNR0ZZ0NNR3ZZ 0NNR4ZZ 0NQ10ZZ 0NQ13ZZ 0NQ14ZZ 0NQ1XZZ 0NQ70ZZ0NQ73ZZ 0NQ74ZZ 0NQ7XZZ 0NQC0ZZ 0NQC3ZZ 0NQC4ZZ 0NQCXZZ0NQR0ZZ 0NQR3ZZ 0NQR4ZZ 0NQRXZZ 0NR107Z 0NR10JZ 0NR10KZ0NR137Z 0NR13JZ 0NR13KZ 0NR147Z 0NR14JZ 0NR14KZ 0NR707Z0NR70JZ 0NR70KZ 0NR737Z 0NR73JZ 0NR73KZ 0NR747Z 0NR74JZ0NR74KZ 0NRC07Z 0NRC0JZ 0NRC0KZ 0NRC37Z 0NRC3JZ 0NRC3KZ0NRC47Z 0NRC4JZ 0NRC4KZ 0NRR07Z 0NRR0JZ 0NRR0KZ 0NRR37Z0NRR3JZ 0NRR3KZ 0NRR47Z 0NRR4JZ 0NRR4KZ 0NS104Z 0NS10ZZ0NS134Z 0NS13ZZ 0NS144Z 0NS14ZZ 0NS1XZZ 0NS704Z 0NS70ZZ0NS734Z 0NS73ZZ 0NS744Z 0NS74ZZ 0NS7XZZ 0NSC04Z 0NSC0ZZ0NSC34Z 0NSC3ZZ 0NSC44Z 0NSC4ZZ 0NSCXZZ 0NSR04Z 0NSR05Z0NSR0ZZ 0NSR34Z 0NSR35Z 0NSR3ZZ 0NSR44Z 0NSR45Z 0NSR4ZZ0NSRXZZ 0NT10ZZ 0NT70ZZ 0NTC0ZZ 0NTR0ZZ 0NU107Z 0NU10JZ0NU10KZ 0NU137Z 0NU13JZ 0NU13KZ 0NU147Z 0NU14JZ 0NU14KZ0NU707Z 0NU70JZ 0NU70KZ 0NU737Z 0NU73JZ 0NU73KZ 0NU747Z0NU74JZ 0NU74KZ 0NUC07Z 0NUC0JZ 0NUC0KZ 0NUC37Z 0NUC3JZ0NUC3KZ 0NUC47Z 0NUC4JZ 0NUC4KZ 0NUR07Z 0NUR0JZ 0NUR0KZ0NUR37Z 0NUR3JZ 0NUR3KZ 0NUR47Z 0NUR4JZ 0NUR4KZ 0P510ZZ0P513ZZ 0P514ZZ 0P520ZZ 0P523ZZ 0P524ZZ 0P810ZZ 0P813ZZ0P814ZZ 0P820ZZ 0P823ZZ 0P824ZZ 0P9100Z 0P910ZX 0P910ZZ0P9130Z 0P913ZX 0P913ZZ 0P9140Z 0P914ZX 0P914ZZ 0P9200Z0P920ZX 0P920ZZ 0P9230Z 0P923ZX 0P923ZZ 0P9240Z 0P924ZX0P924ZZ 0PB10ZX 0PB10ZZ 0PB13ZX 0PB13ZZ 0PB14ZX 0PB14ZZ0PB20ZX 0PB20ZZ 0PB23ZX 0PB23ZZ 0PB24ZX 0PB24ZZ 0PC10ZZ0PC13ZZ 0PC14ZZ 0PC20ZZ 0PC23ZZ 0PC24ZZ 0PH104Z 0PH134Z0PH144Z 0PH204Z 0PH234Z 0PH244Z 0PN10ZZ 0PN13ZZ 0PN14ZZ0PN20ZZ 0PN23ZZ 0PN24ZZ 0PP104Z 0PP107Z 0PP10JZ 0PP10KZ0PP134Z 0PP137Z 0PP13JZ 0PP13KZ 0PP144Z 0PP147Z 0PP14JZ0PP14KZ 0PP1X4Z 0PP204Z 0PP207Z 0PP20JZ 0PP20KZ 0PP234Z

ICD-10 Special Bulletin, No. 12 41 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 42: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

Revised Procedure Codes0PP237Z 0PP23JZ 0PP23KZ 0PP244Z 0PP247Z 0PP24JZ 0PP24KZ0PP2X4Z 0PQ10ZZ 0PQ13ZZ 0PQ14ZZ 0PQ1XZZ 0PQ20ZZ 0PQ23ZZ0PQ24ZZ 0PQ2XZZ 0PR107Z 0PR10JZ 0PR10KZ 0PR137Z 0PR13JZ0PR13KZ 0PR147Z 0PR14JZ 0PR14KZ 0PR207Z 0PR20JZ 0PR20KZ0PR237Z 0PR23JZ 0PR23KZ 0PR247Z 0PR24JZ 0PR24KZ 0PS104Z0PS10ZZ 0PS134Z 0PS13ZZ 0PS144Z 0PS14ZZ 0PS1XZZ 0PS204Z0PS20ZZ 0PS234Z 0PS23ZZ 0PS244Z 0PS24ZZ 0PS2XZZ 0PT10ZZ0PT20ZZ 0PU107Z 0PU10JZ 0PU10KZ 0PU137Z 0PU13JZ 0PU13KZ0PU147Z 0PU14JZ 0PU14KZ 0PU207Z 0PU20JZ 0PU20KZ 0PU237Z0PU23JZ 0PU23KZ 0PU247Z 0PU24JZ 0PU24KZ 0PW104Z 0PW107Z0PW10JZ 0PW10KZ 0PW134Z 0PW137Z 0PW13JZ 0PW13KZ 0PW144Z0PW147Z 0PW14JZ 0PW14KZ 0PW1X4Z 0PW1X7Z 0PW1XJZ 0PW1XKZ0PW204Z 0PW207Z 0PW20JZ 0PW20KZ 0PW234Z 0PW237Z 0PW23JZ0PW23KZ 0PW244Z 0PW247Z 0PW24JZ 0PW24KZ 0PW2X4Z 0PW2X7Z0PW2XJZ 0PW2XKZ 0R5S0ZZ 0R5S3ZZ 0R5S4ZZ 0R5T0ZZ 0R5T3ZZ0R5T4ZZ 0R9S00Z 0R9S0ZX 0R9S0ZZ 0R9S30Z 0R9S3ZX 0R9S3ZZ0R9S40Z 0R9S4ZX 0R9S4ZZ 0R9T00Z 0R9T0ZX 0R9T0ZZ 0R9T30Z0R9T3ZX 0R9T3ZZ 0R9T40Z 0R9T4ZX 0R9T4ZZ 0RBS0ZX 0RBS0ZZ0RBS3ZX 0RBS3ZZ 0RBS4ZX 0RBS4ZZ 0RBT0ZX 0RBT0ZZ 0RBT3ZX0RBT3ZZ 0RBT4ZX 0RBT4ZZ 0RCS0ZZ 0RCS3ZZ 0RCS4ZZ 0RCT0ZZ0RCT3ZZ 0RCT4ZZ 0RGS04Z 0RGS05Z 0RGS07Z 0RGS0JZ 0RGS0KZ0RGS0ZZ 0RGS34Z 0RGS35Z 0RGS37Z 0RGS3JZ 0RGS3KZ 0RGS3ZZ0RGS44Z 0RGS45Z 0RGS47Z 0RGS4JZ 0RGS4KZ 0RGS4ZZ 0RGT04Z0RGT05Z 0RGT07Z 0RGT0JZ 0RGT0KZ 0RGT0ZZ 0RGT34Z 0RGT35Z0RGT37Z 0RGT3JZ 0RGT3KZ 0RGT3ZZ 0RGT44Z 0RGT45Z 0RGT47Z0RGT4JZ 0RGT4KZ 0RGT4ZZ 0RHS03Z 0RHS04Z 0RHS05Z 0RHS08Z0RHS33Z 0RHS34Z 0RHS35Z 0RHS38Z 0RHS43Z 0RHS44Z 0RHS45Z0RHS48Z 0RHT03Z 0RHT04Z 0RHT05Z 0RHT08Z 0RHT33Z 0RHT34Z0RHT35Z 0RHT38Z 0RHT43Z 0RHT44Z 0RHT45Z 0RHT48Z 0RJS0ZZ0RJS3ZZ 0RJS4ZZ 0RJSXZZ 0RJT0ZZ 0RJT3ZZ 0RJT4ZZ 0RJTXZZ0RNS0ZZ 0RNS3ZZ 0RNS4ZZ 0RNSXZZ 0RNT0ZZ 0RNT3ZZ 0RNT4ZZ0RNTXZZ 0RPS00Z 0RPS03Z 0RPS04Z 0RPS05Z 0RPS07Z 0RPS08Z0RPS0JZ 0RPS0KZ 0RPS30Z 0RPS33Z 0RPS34Z 0RPS35Z 0RPS37Z0RPS38Z 0RPS3JZ 0RPS3KZ 0RPS40Z 0RPS43Z 0RPS44Z 0RPS45Z0RPS47Z 0RPS48Z 0RPS4JZ 0RPS4KZ 0RPSX0Z 0RPSX3Z 0RPSX4Z0RPSX5Z 0RPT00Z 0RPT03Z 0RPT04Z 0RPT05Z 0RPT07Z 0RPT08Z

ICD-10 Special Bulletin, No. 12 42 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

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Revised Procedure Codes0RPT0JZ 0RPT0KZ 0RPT30Z 0RPT33Z 0RPT34Z 0RPT35Z 0RPT37Z0RPT38Z 0RPT3JZ 0RPT3KZ 0RPT40Z 0RPT43Z 0RPT44Z 0RPT45Z0RPT47Z 0RPT48Z 0RPT4JZ 0RPT4KZ 0RPTX0Z 0RPTX3Z 0RPTX4Z0RPTX5Z 0RQS0ZZ 0RQS3ZZ 0RQS4ZZ 0RQSXZZ 0RQT0ZZ 0RQT3ZZ0RQT4ZZ 0RQTXZZ 0RRS07Z 0RRS0JZ 0RRS0KZ 0RRT07Z 0RRT0JZ0RRT0KZ 0RSS04Z 0RSS05Z 0RSS0ZZ 0RSS34Z 0RSS35Z 0RSS3ZZ0RSS44Z 0RSS45Z 0RSS4ZZ 0RSSX4Z 0RSSX5Z 0RSSXZZ 0RST04Z0RST05Z 0RST0ZZ 0RST34Z 0RST35Z 0RST3ZZ 0RST44Z 0RST45Z0RST4ZZ 0RSTX4Z 0RSTX5Z 0RSTXZZ 0RTS0ZZ 0RTT0ZZ 0RUS07Z0RUS0JZ 0RUS0KZ 0RUS37Z 0RUS3JZ 0RUS3KZ 0RUS47Z 0RUS4JZ0RUS4KZ 0RUT07Z 0RUT0JZ 0RUT0KZ 0RUT37Z 0RUT3JZ 0RUT3KZ0RUT47Z 0RUT4JZ 0RUT4KZ 0RWS00Z 0RWS03Z 0RWS04Z 0RWS05Z0RWS07Z 0RWS08Z 0RWS0JZ 0RWS0KZ 0RWS30Z 0RWS33Z 0RWS34Z0RWS35Z 0RWS37Z 0RWS38Z 0RWS3JZ 0RWS3KZ 0RWS40Z 0RWS43Z0RWS44Z 0RWS45Z 0RWS47Z 0RWS48Z 0RWS4JZ 0RWS4KZ 0RWSX0Z0RWSX3Z 0RWSX4Z 0RWSX5Z 0RWSX7Z 0RWSX8Z 0RWSXJZ 0RWSXKZ0RWT00Z 0RWT03Z 0RWT04Z 0RWT05Z 0RWT07Z 0RWT08Z 0RWT0JZ0RWT0KZ 0RWT30Z 0RWT33Z 0RWT34Z 0RWT35Z 0RWT37Z 0RWT38Z0RWT3JZ 0RWT3KZ 0RWT40Z 0RWT43Z 0RWT44Z 0RWT45Z 0RWT47Z0RWT48Z 0RWT4JZ 0RWT4KZ 0RWTX0Z 0RWTX3Z 0RWTX4Z 0RWTX5Z0RWTX7Z 0RWTX8Z 0RWTXJZ 0RWTXKZ 0S5K0ZZ 0S5K3ZZ 0S5K4ZZ0S5L0ZZ 0S5L3ZZ 0S5L4ZZ 0S9K00Z 0S9K0ZX 0S9K0ZZ 0S9K30Z0S9K3ZX 0S9K3ZZ 0S9K40Z 0S9K4ZX 0S9K4ZZ 0S9L00Z 0S9L0ZX0S9L0ZZ 0S9L30Z 0S9L3ZX 0S9L3ZZ 0S9L40Z 0S9L4ZX 0S9L4ZZ0SBK0ZX 0SBK0ZZ 0SBK3ZX 0SBK3ZZ 0SBK4ZX 0SBK4ZZ 0SBL0ZX0SBL0ZZ 0SBL3ZX 0SBL3ZZ 0SBL4ZX 0SBL4ZZ 0SCK0ZZ 0SCK3ZZ0SCK4ZZ 0SCL0ZZ 0SCL3ZZ 0SCL4ZZ 0SGK04Z 0SGK05Z 0SGK07Z0SGK0JZ 0SGK0KZ 0SGK0ZZ 0SGK34Z 0SGK35Z 0SGK37Z 0SGK3JZ0SGK3KZ 0SGK3ZZ 0SGK44Z 0SGK45Z 0SGK47Z 0SGK4JZ 0SGK4KZ0SGK4ZZ 0SGL04Z 0SGL05Z 0SGL07Z 0SGL0JZ 0SGL0KZ 0SGL0ZZ0SGL34Z 0SGL35Z 0SGL37Z 0SGL3JZ 0SGL3KZ 0SGL3ZZ 0SGL44Z0SGL45Z 0SGL47Z 0SGL4JZ 0SGL4KZ 0SGL4ZZ 0SHK03Z 0SHK04Z0SHK05Z 0SHK08Z 0SHK33Z 0SHK34Z 0SHK35Z 0SHK38Z 0SHK43Z0SHK44Z 0SHK45Z 0SHK48Z 0SHL03Z 0SHL04Z 0SHL05Z 0SHL08Z0SHL33Z 0SHL34Z 0SHL35Z 0SHL38Z 0SHL43Z 0SHL44Z 0SHL45Z0SHL48Z 0SJK0ZZ 0SJK3ZZ 0SJK4ZZ 0SJKXZZ 0SJL0ZZ 0SJL3ZZ

ICD-10 Special Bulletin, No. 12 43 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.

Page 44: ICD-10 - tmhp.com · • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) This combined Special Bulletin includes the ICD updates for Texas

Revised Procedure Codes0SJL4ZZ 0SJLXZZ 0SNK0ZZ 0SNK3ZZ 0SNK4ZZ 0SNKXZZ 0SNL0ZZ0SNL3ZZ 0SNL4ZZ 0SNLXZZ 0SPK00Z 0SPK03Z 0SPK04Z 0SPK05Z0SPK07Z 0SPK08Z 0SPK0JZ 0SPK0KZ 0SPK30Z 0SPK33Z 0SPK34Z0SPK35Z 0SPK37Z 0SPK38Z 0SPK3JZ 0SPK3KZ 0SPK40Z 0SPK43Z0SPK44Z 0SPK45Z 0SPK47Z 0SPK48Z 0SPK4JZ 0SPK4KZ 0SPKX0Z0SPKX3Z 0SPKX4Z 0SPKX5Z 0SPL00Z 0SPL03Z 0SPL04Z 0SPL05Z0SPL07Z 0SPL08Z 0SPL0JZ 0SPL0KZ 0SPL30Z 0SPL33Z 0SPL34Z0SPL35Z 0SPL37Z 0SPL38Z 0SPL3JZ 0SPL3KZ 0SPL40Z 0SPL43Z0SPL44Z 0SPL45Z 0SPL47Z 0SPL48Z 0SPL4JZ 0SPL4KZ 0SPLX0Z0SPLX3Z 0SPLX4Z 0SPLX5Z 0SQK0ZZ 0SQK3ZZ 0SQK4ZZ 0SQKXZZ0SQL0ZZ 0SQL3ZZ 0SQL4ZZ 0SQLXZZ 0SRK07Z 0SRK0JZ 0SRK0KZ0SRL07Z 0SRL0JZ 0SRL0KZ 0SSK04Z 0SSK05Z 0SSK0ZZ 0SSK34Z0SSK35Z 0SSK3ZZ 0SSK44Z 0SSK45Z 0SSK4ZZ 0SSKX4Z 0SSKX5Z0SSKXZZ 0SSL04Z 0SSL05Z 0SSL0ZZ 0SSL34Z 0SSL35Z 0SSL3ZZ0SSL44Z 0SSL45Z 0SSL4ZZ 0SSLX4Z 0SSLX5Z 0SSLXZZ 0STK0ZZ0STL0ZZ 0SUK07Z 0SUK0JZ 0SUK0KZ 0SUK37Z 0SUK3JZ 0SUK3KZ0SUK47Z 0SUK4JZ 0SUK4KZ 0SUL07Z 0SUL0JZ 0SUL0KZ 0SUL37Z0SUL3JZ 0SUL3KZ 0SUL47Z 0SUL4JZ 0SUL4KZ 0SWK00Z 0SWK03Z0SWK04Z 0SWK05Z 0SWK07Z 0SWK08Z 0SWK0JZ 0SWK0KZ 0SWK30Z0SWK33Z 0SWK34Z 0SWK35Z 0SWK37Z 0SWK38Z 0SWK3JZ 0SWK3KZ0SWK40Z 0SWK43Z 0SWK44Z 0SWK45Z 0SWK47Z 0SWK48Z 0SWK4JZ0SWK4KZ 0SWKX0Z 0SWKX3Z 0SWKX4Z 0SWKX5Z 0SWKX7Z 0SWKX8Z0SWKXJZ 0SWKXKZ 0SWL00Z 0SWL03Z 0SWL04Z 0SWL05Z 0SWL07Z0SWL08Z 0SWL0JZ 0SWL0KZ 0SWL30Z 0SWL33Z 0SWL34Z 0SWL35Z0SWL37Z 0SWL38Z 0SWL3JZ 0SWL3KZ 0SWL40Z 0SWL43Z 0SWL44Z0SWL45Z 0SWL47Z 0SWL48Z 0SWL4JZ 0SWL4KZ 0SWLX0Z 0SWLX3Z0SWLX4Z 0SWLX5Z 0SWLX7Z 0SWLX8Z 0SWLXJZ 0SWLXKZ 3E00XBZ3E013BZ 3E023BZ 3E093BZ 3E097BZ 3E09XBZ 3E0B3BZ 3E0B7BZ3E0BXBZ 3E0C3BZ 3E0C7BZ 3E0CXBZ 3E0D3BZ 3E0D7BZ 3E0DXBZ3E0E3BZ 3E0E7BZ 3E0E8BZ 3E0F3BZ 3E0F7BZ 3E0F8BZ 3E0G3BZ3E0G7BZ 3E0G8BZ 3E0H3BZ 3E0H7BZ 3E0H8BZ 3E0J3BZ 3E0J7BZ3E0J8BZ 3E0K3BZ 3E0K7BZ 3E0K8BZ 3E0L3BZ 3E0M3BZ 3E0N3BZ3E0N7BZ 3E0N8BZ 3E0P3BZ 3E0P7BZ 3E0P8BZ 3E0Q0BZ 3E0Q3BZ3E0R3BZ 3E0S3BZ 3E0T3BZ 3E0U3BZ 3E0V3BZ 3E0W3BZ 3E0X3BZ3E0Y3BZ

For more information, call the TMHP Contact Center at 1-800-925-9126.

ICD-10 Special Bulletin, No. 12 44 2017 Texas Medicaid

Inpatient Hospital ICD-10-PCS and DRG

CPT only copyright 2016 American Medical Association. All rights reserved.