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Coding Tip: New Technology Drugs FY 2018

Section “X” is a separate place within ICD-10-PCS for certain new technology procedures (such as new technology drugs). Section “X” does not introduce any new coding concepts or unusual guidelines for correct coding and maintains continuity with the other sections in ICD-10-PCS. The same root operation and body part values are used in section “X” as in other sections.

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Coding Tip: Aromatase Inhibitor Use Reporting

Aromatase inhibitors are used in the treatment of hormone receptor-positive, early, and metastatic breast cancer in postmenopausal women and, sometimes, in men with gynecomastia. They stop the production of estrogen in postmenopausal women by blocking the enzyme aromatase. The aromatase enzyme turns the hormone androgen into small amounts of estrogen in the body.

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Coding Tip: Bronchoscopy with Removal of Mucus Plugs or Foreign Body

HIA has previously discussed the coding of bronchoscopy with bronchoalveolar lavage (BAL). The coding of procedures performed via bronchoscopy has become complicated in ICD-10-PCS. The coder must now think about the objective of the procedure to assign the correct root operation, the correct body part being addressed, and the correct approach and whether or not the intent of any removal of tissue or fluid was diagnostic.

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