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Vitalware Insight into the 2025 ICD-10 PCS Updates

The document outlines the updates to the ICD-10 PCS coding system for fiscal year 2025, highlighting 371 new code additions and 61 deletions, resulting in a total of 78,948 codes. Key additions include new procedures involving stereoelectroencephalographic ablation, connectomic analysis, various bypass techniques, and drug-eluting intraluminal devices. The document serves as a general overview and advises reviewing specific regulations for coding advice.

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© Health Catalyst. Confidential and Proprietary. Insight into the 2025 ICD-10 PCS Updates Mikki Fazzio, RHIT, CCS, Charge Integrity Specialist
© Health Catalyst. Confidential and Proprietary. Disclaimer Statement This presentation was current at the time it was published or provided via the web and is designed to provide accurate and authoritative information regarding the subject matter covered. The information provided is only intended to be a general overview with the understanding that neither the presenter nor the event sponsor is engaged in rendering specific coding advice. It is not intended to take the place of either the written policies or regulations. We encourage participants to review the specific regulations and other interpretive materials, as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).
Agenda © Health Catalyst. Confidential and Proprietary. ICD-10-PCS • Code Additions •Description of new procedures •Coding tips • Code Deletions
© Health Catalyst. Confidential and Proprietary. PCS Code Changes Summary for FY 2025 • 371 Additions • 61 Deletions • Total code count increased from 78,638 to 78,948 • No Title Revisions • There are no PCS guideline changes
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Code Additions and Deletions
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions • The OneRF™ Ablation System • Used to prevent seizure activity • Performed using Evo® sEEG-RF probes Stereoelectroencephalographic (sEEG) Ablation https://nmtc1.com/onerf
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions A new qualifier value 4, Stereoelectroencephalographic Radiofrequency Ablation has been added to the 005 table. 00503Z4 Destruction of Brain using Stereoelectroencephalographic Radiofrequency Ablation, Percutaneous Approach New code includes placement of the probes, destruction of the tissue, and removal of the probes.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions • Quicktome • Used to process MRI sequences into 3D maps that represent white matter tracts Connectomic Analysis and Visualization of Brain Networks https://www.o8t.com/quicktome
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions The qualifier value to use for this procedure is 1, Connectomic Analysis. 00K0XZ1 Map Brain using Connectomic Analysis, External Approach Code MRI separately if performed along with this procedure.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Lower Artery Bypasses • Bypass from hepatic artery to superior mesenteric artery or from splenic artery to inferior mesenteric artery • Performed if the origin of one or both mesentery arteries is not available to provide blood to the intestines https://libmaneducation.com/
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 041309R Bypass Hepatic Artery to Lower Artery with Autologous Venous Tissue, Open Approach 04130AR Bypass Hepatic Artery to Lower Artery with Autologous Arterial Tissue, Open Approach 04130JR Bypass Hepatic Artery to Lower Artery with Synthetic Substitute, Open Approach 04130KR Bypass Hepatic Artery to Lower Artery with Nonautologous Tissue Substitute, Open Approach 04130ZR Bypass Hepatic Artery to Lower Artery, Open Approach 041349R Bypass Hepatic Artery to Lower Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach 04134AR Bypass Hepatic Artery to Lower Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach 04134JR Bypass Hepatic Artery to Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach 04134KR Bypass Hepatic Artery to Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach 04134ZR Bypass Hepatic Artery to Lower Artery, Percutaneous Endoscopic Approach Qualifier R, Lower Artery has been added to the 041 table for the hepatic artery and splenic artery.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Qualifier R, Lower Artery has been added to the 041 table for the hepatic artery and splenic artery. 041409R Bypass Splenic Artery to Lower Artery with Autologous Venous Tissue, Open Approach 04140AR Bypass Splenic Artery to Lower Artery with Autologous Arterial Tissue, Open Approach 04140JR Bypass Splenic Artery to Lower Artery with Synthetic Substitute, Open Approach 04140KR Bypass Splenic Artery to Lower Artery with Nonautologous Tissue Substitute, Open Approach 04140ZR Bypass Splenic Artery to Lower Artery, Open Approach 041449R Bypass Splenic Artery to Lower Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach 04144AR Bypass Splenic Artery to Lower Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach 04144JR Bypass Splenic Artery to Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach 04144KR Bypass Splenic Artery to Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach 04144ZR Bypass Splenic Artery to Lower Artery, Percutaneous Endoscopic Approach
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 047L342 Dilation of Left Femoral Artery with Drug-eluting Intraluminal Device, Sustained Release, Percutaneous Approach 047L352 Dilation of Left Femoral Artery with Two Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047L362 Dilation of Left Femoral Artery with Three Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047L372 Dilation of Left Femoral Artery with Four or More Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047K342 Dilation of Right Femoral Artery with Drug-eluting Intraluminal Device, Sustained Release, Percutaneous Approach 047K352 Dilation of Right Femoral Artery with Two Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047K362 Dilation of Right Femoral Artery with Three Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047K372 Dilation of Right Femoral Artery with Four or More Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047M342 Dilation of Right Popliteal Artery with Drug-eluting Intraluminal Device, Sustained Release, Percutaneous Approach 047M352 Dilation of Right Popliteal Artery with Two Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047M362 Dilation of Right Popliteal Artery with Three Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047M372 Dilation of Right Popliteal Artery with Four or More Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047N342 Dilation of Left Popliteal Artery with Drug-eluting Intraluminal Device, Sustained Release, Percutaneous Approach 047N352 Dilation of Left Popliteal Artery with Two Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047N362 Dilation of Left Popliteal Artery with Three Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047N372 Dilation of Left Popliteal Artery with Four or More Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 047N342 Dilation of Left Popliteal Artery with Drug-eluting Intraluminal Device, Sustained Release, Percutaneous Appro ach 047N352 Dilation of Left Popliteal Artery with Two Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047N362 Dilation of Left Popliteal Artery with Three Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047N372 Dilation of Left Popliteal Artery with Four or More Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047P342 Dilation of Right Anterior Tibial Artery with Drug-eluting Intraluminal Device, Sustained Release, Percutaneous Approach 047P352 Dilation of Right Anterior Tibial Artery with Two Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047P362 Dilation of Right Anterior Tibial Artery with Three Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047P372 Dilation of Right Anterior Tibial Artery with Four or More Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047Q342 Dilation of Left Anterior Tibial Artery with Drug-eluting Intraluminal Device, Sustained Release, Percutaneous Approach 047Q352 Dilation of Left Anterior Tibial Artery with Two Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047Q362 Dilation of Left Anterior Tibial Artery with Three Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047Q372 Dilation of Left Anterior Tibial Artery with Four or More Drug-eluting Intraluminal Devices, Sustained Release , Percutaneous Approach 047R342 Dilation of Right Posterior Tibial Artery with Drug-eluting Intraluminal Device, Sustained Release, Percutaneous Approach 047R352 Dilation of Right Posterior Tibial Artery with Two Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047R362 Dilation of Right Posterior Tibial Artery with Three Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047R372 Dilation of Right Posterior Tibial Artery with Four or More Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 047S342 Dilation of Left Posterior Tibial Artery with Drug-eluting Intraluminal Device, Sustained Release, Percutaneous Approach 047S352 Dilation of Left Posterior Tibial Artery with Two Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047S362 Dilation of Left Posterior Tibial Artery with Three Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047S372 Dilation of Left Posterior Tibial Artery with Four or More Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047T342 Dilation of Right Peroneal Artery with Drug-eluting Intraluminal Device, Sustained Release, Percutaneous Approach 047T352 Dilation of Right Peroneal Artery with Two Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047T362 Dilation of Right Peroneal Artery with Three Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047T372 Dilation of Right Peroneal Artery with Four or More Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047U342 Dilation of Left Peroneal Artery with Drug-eluting Intraluminal Device, Sustained Release, Percutaneous Approa ch 047U352 Dilation of Left Peroneal Artery with Two Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047U362 Dilation of Left Peroneal Artery with Three Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach 047U372 Dilation of Left Peroneal Artery with Four or More Drug-eluting Intraluminal Devices, Sustained Release, Percutaneous Approach
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Bypass in Lymphatic System • Goal is to re-establish normal outflow of lymphatic fluid by bypass between lymphatic vessel and local vein to prevent/treat lymphedema. https://health.ucdavis.edu/plasticsurgery/procedures/lymphatic-treatment.html https://friedmancenter.org/lymphedema-overview/preventing-lymphedema/
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 07100Z3 Bypass Head Lymphatic to Peripheral Vein, Open Approach 07100Z4 Bypass Head Lymphatic to Central Vein, Open Approach 07100Z7 Bypass Head Lymphatic to Lymphatic, Open Approach 07100ZK Bypass Head Lymphatic to Thoracic Duct, Open Approach 07100ZL Bypass Head Lymphatic to Cisterna Chyli, Open Approach 07104Z3 Bypass Head Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 07104Z4 Bypass Head Lymphatic to Central Vein, Percutaneous Endoscopic Approach 07104Z7 Bypass Head Lymphatic to Lymphatic, Percutaneous Endoscopic Approach 07104ZK Bypass Head Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 07104ZL Bypass Head Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 07110Z3 Bypass Right Neck Lymphatic to Peripheral Vein, Open Approach 07110Z4 Bypass Right Neck Lymphatic to Central Vein, Open Approach 07110Z7 Bypass Right Neck Lymphatic to Lymphatic, Open Approach 07110ZK Bypass Right Neck Lymphatic to Thoracic Duct, Open Approach 07110ZL Bypass Right Neck Lymphatic to Cisterna Chyli, Open Approach 07114Z3 Bypass Right Neck Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 07114Z4 Bypass Right Neck Lymphatic to Central Vein, Percutaneous Endoscopic Approach 07114Z7 Bypass Right Neck Lymphatic to Lymphatic, Percutaneous Endoscopic Approach
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 07114ZK Bypass Right Neck Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 07114ZL Bypass Right Neck Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 07120Z3 Bypass Left Neck Lymphatic to Peripheral Vein, Open Approach 07120Z4 Bypass Left Neck Lymphatic to Central Vein, Open Approach 07120Z7 Bypass Left Neck Lymphatic to Lymphatic, Open Approach 07120ZK Bypass Left Neck Lymphatic to Thoracic Duct, Open Approach 07120ZL Bypass Left Neck Lymphatic to Cisterna Chyli, Open Approach 07124Z3 Bypass Left Neck Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 07124Z4 Bypass Left Neck Lymphatic to Central Vein, Percutaneous Endoscopic Approach 07124Z7 Bypass Left Neck Lymphatic to Lymphatic, Percutaneous Endoscopic Approach 07124ZK Bypass Left Neck Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 07124ZL Bypass Left Neck Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 07130Z3 Bypass Right Upper Extremity Lymphatic to Peripheral Vein, Open Approach 07130Z4 Bypass Right Upper Extremity Lymphatic to Central Vein, Open Approach 07130Z7 Bypass Right Upper Extremity Lymphatic to Lymphatic, Open Approach 07130ZK Bypass Right Upper Extremity Lymphatic to Thoracic Duct, Open Approach 07130ZL Bypass Right Upper Extremity Lymphatic to Cisterna Chyli, Open Approach 07134Z3 Bypass Right Upper Extremity Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 07134Z4 Bypass Right Upper Extremity Lymphatic to Central Vein, Percutaneous Endoscopic Approach 07134Z7 Bypass Right Upper Extremity Lymphatic to Lymphatic, Percutaneous Endoscopic Approach
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 07134ZK Bypass Right Upper Extremity Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 07134ZL Bypass Right Upper Extremity Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 07140Z3 Bypass Left Upper Extremity Lymphatic to Peripheral Vein, Open Approach 07140Z4 Bypass Left Upper Extremity Lymphatic to Central Vein, Open Approach 07140Z7 Bypass Left Upper Extremity Lymphatic to Lymphatic, Open Approach 07140ZK Bypass Left Upper Extremity Lymphatic to Thoracic Duct, Open Approach 07140ZL Bypass Left Upper Extremity Lymphatic to Cisterna Chyli, Open Approach 07144Z3 Bypass Left Upper Extremity Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 07144Z4 Bypass Left Upper Extremity Lymphatic to Central Vein, Percutaneous Endoscopic Approach 07144Z7 Bypass Left Upper Extremity Lymphatic to Lymphatic, Percutaneous Endoscopic Approach 07144ZK Bypass Left Upper Extremity Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 07144ZL Bypass Left Upper Extremity Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 07150Z3 Bypass Right Axillary Lymphatic to Peripheral Vein, Open Approach 07150Z4 Bypass Right Axillary Lymphatic to Central Vein, Open Approach 07150Z7 Bypass Right Axillary Lymphatic to Lymphatic, Open Approach 07150ZK Bypass Right Axillary Lymphatic to Thoracic Duct, Open Approach 07150ZL Bypass Right Axillary Lymphatic to Cisterna Chyli, Open Approach 07154Z3 Bypass Right Axillary Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 07154Z4 Bypass Right Axillary Lymphatic to Central Vein, Percutaneous Endoscopic Approach 07154Z7 Bypass Right Axillary Lymphatic to Lymphatic, Percutaneous Endoscopic Approach
© Health Catalyst. Confidential and Proprietary. 07154ZK Bypass Right Axillary Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 07154ZL Bypass Right Axillary Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 07160Z3 Bypass Left Axillary Lymphatic to Peripheral Vein, Open Approach 07160Z4 Bypass Left Axillary Lymphatic to Central Vein, Open Approach 07160Z7 Bypass Left Axillary Lymphatic to Lymphatic, Open Approach 07160ZK Bypass Left Axillary Lymphatic to Thoracic Duct, Open Approach 07160ZL Bypass Left Axillary Lymphatic to Cisterna Chyli, Open Approach 07164Z3 Bypass Left Axillary Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 07164Z4 Bypass Left Axillary Lymphatic to Central Vein, Percutaneous Endoscopic Approach 07164Z7 Bypass Left Axillary Lymphatic to Lymphatic, Percutaneous Endoscopic Approach 07164ZK Bypass Left Axillary Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 07164ZL Bypass Left Axillary Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 07170Z3 Bypass Thorax Lymphatic to Peripheral Vein, Open Approach 07170Z4 Bypass Thorax Lymphatic to Central Vein, Open Approach 07170Z7 Bypass Thorax Lymphatic to Lymphatic, Open Approach 07170ZK Bypass Thorax Lymphatic to Thoracic Duct, Open Approach 07170ZL Bypass Thorax Lymphatic to Cisterna Chyli, Open Approach 07174Z3 Bypass Thorax Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 07174Z4 Bypass Thorax Lymphatic to Central Vein, Percutaneous Endoscopic Approach 07174Z7 Bypass Thorax Lymphatic to Lymphatic, Percutaneous Endoscopic Approach ICD-10-PCS Additions
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 07174ZK Bypass Thorax Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 07174ZL Bypass Thorax Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 07180Z3 Bypass Right Internal Mammary Lymphatic to Peripheral Vein, Open Approach 07180Z4 Bypass Right Internal Mammary Lymphatic to Central Vein, Open Approach 07180Z7 Bypass Right Internal Mammary Lymphatic to Lymphatic, Open Approach 07180ZK Bypass Right Internal Mammary Lymphatic to Thoracic Duct, Open Approach 07180ZL Bypass Right Internal Mammary Lymphatic to Cisterna Chyli, Open Approach 07184Z3 Bypass Right Internal Mammary Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 07184Z4 Bypass Right Internal Mammary Lymphatic to Central Vein, Percutaneous Endoscopic Approach 07184Z7 Bypass Right Internal Mammary Lymphatic to Lymphatic, Percutaneous Endoscopic Approach 07184ZK Bypass Right Internal Mammary Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 07184ZL Bypass Right Internal Mammary Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 07190Z3 Bypass Left Internal Mammary Lymphatic to Peripheral Vein, Open Approach 07190Z4 Bypass Left Internal Mammary Lymphatic to Central Vein, Open Approach 07190Z7 Bypass Left Internal Mammary Lymphatic to Lymphatic, Open Approach 07190ZK Bypass Left Internal Mammary Lymphatic to Thoracic Duct, Open Approach 07190ZL Bypass Left Internal Mammary Lymphatic to Cisterna Chyli, Open Approach 07194Z3 Bypass Left Internal Mammary Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 07194Z4 Bypass Left Internal Mammary Lymphatic to Central Vein, Percutaneous Endoscopic Approach 07194Z7 Bypass Left Internal Mammary Lymphatic to Lymphatic, Percutaneous Endoscopic Approach
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 07194ZK Bypass Left Internal Mammary Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 07194ZL Bypass Left Internal Mammary Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 071B0Z3 Bypass Mesenteric Lymphatic to Peripheral Vein, Open Approach 071B0Z4 Bypass Mesenteric Lymphatic to Central Vein, Open Approach 071B0Z7 Bypass Mesenteric Lymphatic to Lymphatic, Open Approach 071B0ZK Bypass Mesenteric Lymphatic to Thoracic Duct, Open Approach 071B0ZL Bypass Mesenteric Lymphatic to Cisterna Chyli, Open Approach 071B4Z3 Bypass Mesenteric Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 071B4Z4 Bypass Mesenteric Lymphatic to Central Vein, Percutaneous Endoscopic Approach 071B4Z7 Bypass Mesenteric Lymphatic to Lymphatic, Percutaneous Endoscopic Approach 071B4ZK Bypass Mesenteric Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 071B4ZL Bypass Mesenteric Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 071C0Z3 Bypass Pelvis Lymphatic to Peripheral Vein, Open Approach 071C0Z4 Bypass Pelvis Lymphatic to Central Vein, Open Approach 071C0Z7 Bypass Pelvis Lymphatic to Lymphatic, Open Approach 071C0ZK Bypass Pelvis Lymphatic to Thoracic Duct, Open Approach 071C0ZL Bypass Pelvis Lymphatic to Cisterna Chyli, Open Approach 071C4Z3 Bypass Pelvis Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 071C4Z4 Bypass Pelvis Lymphatic to Central Vein, Percutaneous Endoscopic Approach 071C4Z7 Bypass Pelvis Lymphatic to Lymphatic, Percutaneous Endoscopic Approach
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 071C4ZK Bypass Pelvis Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 071C4ZL Bypass Pelvis Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 071D0Z3 Bypass Aortic Lymphatic to Peripheral Vein, Open Approach 071D0Z4 Bypass Aortic Lymphatic to Central Vein, Open Approach 071D0Z7 Bypass Aortic Lymphatic to Lymphatic, Open Approach 071D0ZK Bypass Aortic Lymphatic to Thoracic Duct, Open Approach 071D0ZL Bypass Aortic Lymphatic to Cisterna Chyli, Open Approach 071D4Z3 Bypass Aortic Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 071D4Z4 Bypass Aortic Lymphatic to Central Vein, Percutaneous Endoscopic Approach 071D4Z7 Bypass Aortic Lymphatic to Lymphatic, Percutaneous Endoscopic Approach 071D4ZK Bypass Aortic Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 071D4ZL Bypass Aortic Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 071F0Z3 Bypass Right Lower Extremity Lymphatic to Peripheral Vein, Open Approach 071F0Z4 Bypass Right Lower Extremity Lymphatic to Central Vein, Open Approach 071F0Z7 Bypass Right Lower Extremity Lymphatic to Lymphatic, Open Approach 071F0ZK Bypass Right Lower Extremity Lymphatic to Thoracic Duct, Open Approach 071F0ZL Bypass Right Lower Extremity Lymphatic to Cisterna Chyli, Open Approach 071F4Z3 Bypass Right Lower Extremity Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 071F4Z4 Bypass Right Lower Extremity Lymphatic to Central Vein, Percutaneous Endoscopic Approach 071F4Z7 Bypass Right Lower Extremity Lymphatic to Lymphatic, Percutaneous Endoscopic Approach
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 071F4ZK Bypass Right Lower Extremity Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 071F4ZL Bypass Right Lower Extremity Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 071G0Z3 Bypass Left Lower Extremity Lymphatic to Peripheral Vein, Open Approach 071G0Z4 Bypass Left Lower Extremity Lymphatic to Central Vein, Open Approach 071G0Z7 Bypass Left Lower Extremity Lymphatic to Lymphatic, Open Approach 071G0ZK Bypass Left Lower Extremity Lymphatic to Thoracic Duct, Open Approach 071G0ZL Bypass Left Lower Extremity Lymphatic to Cisterna Chyli, Open Approach 071G4Z3 Bypass Left Lower Extremity Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 071G4Z4 Bypass Left Lower Extremity Lymphatic to Central Vein, Percutaneous Endoscopic Approach 071G4Z7 Bypass Left Lower Extremity Lymphatic to Lymphatic, Percutaneous Endoscopic Approach 071G4ZK Bypass Left Lower Extremity Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 071G4ZL Bypass Left Lower Extremity Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 071H0Z3 Bypass Right Inguinal Lymphatic to Peripheral Vein, Open Approach 071H0Z4 Bypass Right Inguinal Lymphatic to Central Vein, Open Approach 071H0Z7 Bypass Right Inguinal Lymphatic to Lymphatic, Open Approach 071H0ZK Bypass Right Inguinal Lymphatic to Thoracic Duct, Open Approach 071H0ZL Bypass Right Inguinal Lymphatic to Cisterna Chyli, Open Approach 071H4Z3 Bypass Right Inguinal Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 071H4Z4 Bypass Right Inguinal Lymphatic to Central Vein, Percutaneous Endoscopic Approach 071H4Z7 Bypass Right Inguinal Lymphatic to Lymphatic, Percutaneous Endoscopic Approach
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 071H4ZK Bypass Right Inguinal Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 071H4ZL Bypass Right Inguinal Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 071J0Z3 Bypass Left Inguinal Lymphatic to Peripheral Vein, Open Approach 071J0Z4 Bypass Left Inguinal Lymphatic to Central Vein, Open Approach 071J0Z7 Bypass Left Inguinal Lymphatic to Lymphatic, Open Approach 071J0ZK Bypass Left Inguinal Lymphatic to Thoracic Duct, Open Approach 071J0ZL Bypass Left Inguinal Lymphatic to Cisterna Chyli, Open Approach 071J4Z3 Bypass Left Inguinal Lymphatic to Peripheral Vein, Percutaneous Endoscopic Approach 071J4Z4 Bypass Left Inguinal Lymphatic to Central Vein, Percutaneous Endoscopic Approach 071J4Z7 Bypass Left Inguinal Lymphatic to Lymphatic, Percutaneous Endoscopic Approach 071J4ZK Bypass Left Inguinal Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach 071J4ZL Bypass Left Inguinal Lymphatic to Cisterna Chyli, Percutaneous Endoscopic Approach 071K0Z3 Bypass Thoracic Duct to Peripheral Vein, Open Approach 071K0Z4 Bypass Thoracic Duct to Central Vein, Open Approach 071K0Z7 Bypass Thoracic Duct to Lymphatic, Open Approach 071K0ZK Bypass Thoracic Duct to Thoracic Duct, Open Approach 071K0ZL Bypass Thoracic Duct to Cisterna Chyli, Open Approach 071K4Z3 Bypass Thoracic Duct to Peripheral Vein, Percutaneous Endoscopic Approach 071K4Z4 Bypass Thoracic Duct to Central Vein, Percutaneous Endoscopic Approach 071K4Z7 Bypass Thoracic Duct to Lymphatic, Percutaneous Endoscopic Approach
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 071K4ZK Bypass Thoracic Duct to Thoracic Duct, Percutaneous Endoscopic Approach 071K4ZL Bypass Thoracic Duct to Cisterna Chyli, Percutaneous Endoscopic Approach 071L0Z3 Bypass Cisterna Chyli to Peripheral Vein, Open Approach 071L0Z4 Bypass Cisterna Chyli to Central Vein, Open Approach 071L0Z7 Bypass Cisterna Chyli to Lymphatic, Open Approach 071L0ZK Bypass Cisterna Chyli to Thoracic Duct, Open Approach 071L0ZL Bypass Cisterna Chyli to Cisterna Chyli, Open Approach 071L4Z3 Bypass Cisterna Chyli to Peripheral Vein, Percutaneous Endoscopic Approach 071L4Z4 Bypass Cisterna Chyli to Central Vein, Percutaneous Endoscopic Approach 071L4Z7 Bypass Cisterna Chyli to Lymphatic, Percutaneous Endoscopic Approach 071L4ZK Bypass Cisterna Chyli to Thoracic Duct, Percutaneous Endoscopic Approach 071L4ZL Bypass Cisterna Chyli to Cisterna Chyli, Percutaneous Endoscopic Approach
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Lumen-apposing Metal Stent (LAMS) • Placed to train fluid or absesses from one tube to another (ex. Pancreatic pseudocyst or infected gallbladder) • Performed during an ERCP • AXIOS™ device https://www.brighamhealthonamission.org/ 2019/12/11/pioneering-uses-of-lumen- apposing-metal-stents-lams/ https://www.sciencedirect.com Pancreatic Pseudocyst Infected gallbladder
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 0FP480Z Removal of Drainage Device from Gallbladder, Via Natural or Artificial Opening Endoscopic 0FPG80Z Removal of Drainage Device from Pancreas, Via Natural or Artificial Opening Endoscopic Approach value 8 has been added to allow for coding of removal of the LAMS device.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 0FW480Z Revision of Drainage Device in Gallbladder, Via Natural or Artificial Opening Endoscopic 0FWG80Z Revision of Drainage Device in Pancreas, Via Natural or Artificial Opening Endoscopic Approach value 8 has been added to allow for coding of revisions of the LAMS device.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions LAP (Lumbar Artery Perforator) Free Flap for Breast Replacement • Source of the tissue device that is used for a free flap reconstruction https://libmaneducation.com/
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 0HRT07B Replacement of Right Breast using Lumbar Artery Perforator Flap, Open Approach 0HRU07B Replacement of Left Breast using Lumbar Artery Perforator Flap, Open Approach 0HRV07B Replacement of Bilateral Breast using Lumbar Artery Perforator Flap, Open Approach Qualifier value B, Lumbar Artery perforator flap is being added to the OHR table. Do not code separately for the harvesting of the subcutaneous tissue for this flap (See coding guideline B3.9)
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions External Fixation Devices of the Head and Facial Bones • Used to reposition nasal, maxillary, and mandibular fractures https://www.thepmfajournal.com/education/case-reports/post/old-dogs-can-learn-new-tricks-the-use-of-an- often-overlooked-treatment-modality-for-pathologically-fractured-mandibles
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 0NPB05Z Removal of External Fixation Device from Nasal Bone, Open Approach 0NPB35Z Removal of External Fixation Device from Nasal Bone, Percutaneous Approach 0NPB45Z Removal of External Fixation Device from Nasal Bone, Percutaneous Endoscopic Approach 0NPBX5Z Removal of External Fixation Device from Nasal Bone, External Approach 0NPW05Z Removal of External Fixation Device from Facial Bone, Open Approach 0NPW35Z Removal of External Fixation Device from Facial Bone, Percutaneous Approach 0NPW45Z Removal of External Fixation Device from Facial Bone, Percutaneous Endoscopic Approach 0NPWX5Z Removal of External Fixation Device from Facial Bone, External Approach Device value 5, External Fixation Device has been added to the ONP table for Removal of the external fixation device on the nasal and facial bone.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 0NWB05Z Revision of External Fixation Device in Nasal Bone, Open Approach 0NWB35Z Revision of External Fixation Device in Nasal Bone, Percutaneous Approach 0NWB45Z Revision of External Fixation Device in Nasal Bone, Percutaneous Endoscopic Approach 0NWBX5Z Revision of External Fixation Device in Nasal Bone, External Approach 0NWW05Z Revision of External Fixation Device in Facial Bone, Open Approach 0NWW35Z Revision of External Fixation Device in Facial Bone, Percutaneous Approach 0NWW45Z Revision of External Fixation Device in Facial Bone, Percutaneous Endoscopic Approach 0NWWX5Z Revision of External Fixation Device in Facial Bone, External Approach Device value 5, External Fixation Device has been added to the ONW table for Revision of the external fixation device on the nasal and facial bone.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Extracorporeal Circulatory Filtration • Removes undesirable intravascular material (UIM) from blood using a filtration circuit. (Examples of UIM: thrombi or emboli, endocarditis vegetation, or infective exudate) www.libmaneducation.com
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Extracorporeal Circulatory Filtration- Documentation This procedure can be documented with any of the following: • Extracorporeal filter circuit • Extracorporeal return • Veno-venous circuit • Veno-venous bypass • Filtration circuit • Debris collection circuit • Emboli trap circuit Note: This is NOT an autologous transfusion, ECMO or the use of the CP bypass machine. The objective is performance of filtration.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 5A05A0L Extracorporeal Peripheral Veno-venous Filtration, Intraoperative In table 5A0, the filtration circuit and the venous return cannula are described by qualifier value L, Peripheral Veno-venous in this new code, which differentiates this procedure from a typical suction thrombectomy.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Fiber Optic 3D Guidance • LumiGuide • Uses Optic Real Shape (FORS) technology • Provides 3D images of inside the vessel during endovascular procedures https://www.usa.philips.com/healthcare/technology/fiber-optic-real-shape-technology
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions 8E023FZ Fiber Optic 3D Guided Procedure of Circulatory System, Percutaneous Approach Method value F, Fiber Optic 3D Guided Procedure has been added to the 8E0 table. The body region assigned for this code is ALWAYS 2, Circulatory System, not the area of the body where the procedure is performed.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Radiofrequency Ablation of Renal Sympathetic Nerves • Symplicity Spyral™ • Renal denervation- treats essential hypertension that can’t be controlled otherwise
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions X05133A Destruction of Renal Sympathetic Nerve(s) using Radiofrequency Ablation,Percutaneous Approach, New Technology Group 10 The body part value is 1, Renal Sympathetic nerve(s) in the X05 table in New Technology. The Device/Substance/Technology value of 3, Radiofrequency ablation describes the complete denervation process, done percutaneously in both main renal arteries.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Drug-Eluting Resorbable Scaffold • Esprit™ BTK (below the knee) drug-eluting resorbable scaffold • Drug used is Everolimus • Delivery scaffold is made of Poly-L-Lactic acid • Used to treat the anterior and posterior tibial arteries and the peroneal artery of the lower leg https://x.com/AbbottCardio/status/1747661313189327295/photo/1
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions X27P3TA Dilation of Right Anterior Tibial Artery with Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s), Percutaneous Approach, New Technology Group 10 X27Q3TA Dilation of Left Anterior Tibial Artery with Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s), P ercutaneous Approach, New Technology Group 10 X27R3TA Dilation of Right Posterior Tibial Artery with Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s), Percutaneous Approach, New Technology Group 10 X27S3TA Dilation of Left Posterior Tibial Artery with Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s), Percutaneous Approach, New Technology Group 10 X27T3TA Dilation of Right Peroneal Artery with Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s), Percutaneous Approach, New Technology Group 10 X27U3TA Dilation of Left Peroneal Artery with Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s), Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value for this is T, Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s) in the X27 table. On the left of the table, you’ll see the three lower leg arteries where this can be used. Atherectomy and/or intravascular lithotripsy prior to the dilation with the scaffold are coded separately. Angioplasty is not coded separately because this is the Dilation procedure.
© Health Catalyst. Confidential and Proprietary. X27Q3B5 Dilation of Left Anterior Tibial Artery with Three Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 X27Q3C5 Dilation of Left Anterior Tibial Artery with Four or More Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 X27R385 Dilation of Right Posterior Tibial Artery with Sustained Release Drug-eluting Intraluminal Device, Percutaneous Approach, New Technology Group 5 X27R395 Dilation of Right Posterior Tibial Artery with Two Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 X27R3B5 Dilation of Right Posterior Tibial Artery with Three Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 X27R3C5 Dilation of Right Posterior Tibial Artery with Four or More Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 X27S385 Dilation of Left Posterior Tibial Artery with Sustained Release Drug-eluting Intraluminal Device, Percutaneous Approach, New Technology Group 5 X27S395 Dilation of Left Posterior Tibial Artery with Two Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 X27S3B5 Dilation of Left Posterior Tibial Artery with Three Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 ICD-10-PCS Deletions
© Health Catalyst. Confidential and Proprietary. X27S3C5 Dilation of Left Posterior Tibial Artery with Four or More Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 X27T385 Dilation of Right Peroneal Artery with Sustained Release Drug-eluting Intraluminal Device, Percutaneous Approach, New Technology Group 5 X27T395 Dilation of Right Peroneal Artery with Two Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 X27T3B5 Dilation of Right Peroneal Artery with Three Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 X27T3C5 Dilation of Right Peroneal Artery with Four or More Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 X27U385 Dilation of Left Peroneal Artery with Sustained Release Drug-eluting Intraluminal Device, Percutaneous Approach, New Technology Group 5 X27U395 Dilation of Left Peroneal Artery with Two Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 X27U3B5 Dilation of Left Peroneal Artery with Three Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 X27U3C5 Dilation of Left Peroneal Artery with Four or More Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 ICD-10-PCS Deletions
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Division of Bioprosthetic Aortic Valve Leaflet • Pi-Cardia ShortCut™ catheter • Used to prepare a bioprosthetic aortic valve for replacement using the transcatheter approach (TAVR) • Reduces risk of coronary obstruction and coronary access compromise https://www.pi-cardia.net/technology-shortcut
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions The Device/Substance/Technology value for this new tool is V, Intraluminal Bioprosthetic Valve Leaflet Splitting Technology in Existing Valve. X28F3VA Division of Aortic Valve using Intraluminal Bioprosthetic Valve Leaflet Splitting Technology in Existing Valve , Percutaneous Approach, New Technology Group 10 When coding this procedure, code X28F3VA is assigned, along with the code for the TAVR procedure, code 02RF38Z, Replacement of Aortic Valve with Zooplastic Tissue, Percutaneous Approach.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Implantation of Bioengineered Vessel • Human Acellular Vessel™ (HAV™) • Used as a replacement for a damaged or missing arterial segment in upper or lower extremities • Infection-resistant and ready for immediate use https://humacyte.com/platform-technology/
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions X2R50WA Replacement of Right Upper Extremity Artery using Bioengineered Human Acellular Vessel, Open Approach, New Technology Group 10 X2R60WA Replacement of Left Upper Extremity Artery using Bioengineered Human Acellular Vessel, Open Approach, New Technology Group 10 X2R70WA Replacement of Right Lower Extremity Artery using Bioengineered Human Acellular Vessel, Open Approach, New Technology Group 10 X2R80WA Replacement of Left Lower Extremity Artery using Bioengineered Human Acellular Vessel, Open Approach, New Technology Group 10 The Device/Substance/Technology value for this new vessel is W, Bioengineered Human Acellular Vessel. This procedure is performed using an open approach.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Transcatheter Tricuspid Valve Replacement • Edwards EVOQUE transcatheter tricuspid valve • The multi-plane flex technology refers to how the valve is easily positioned https://www.edwards.com/healthcare-professionals/products-services/evoque-tricuspid-valve- replacement-system#explore
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions X2RJ3RA Replacement of Tricuspid Valve with Multi-plane Flex Technology Bioprosthetic Valve, Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value for this new valve is R, Multi-plane Flex Technology Bioprosthetic Valve.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Restriction of Descending Thoracic Aorta and Abdominal Aorta • GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE) Device • Treats aneurysms in the thoracoabdominal aorta that include the visceral segment www.libmaneducation.com
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions X2VE3SA Restriction of Descending Thoracic Aorta and Abdominal Aorta using Branched Intraluminal Device, Manufactured Integrated System, Four or More Arteries, Percutaneous Approach, New Technology Group 10 The TAMBE is Device/Substance/Technology value S, Branched Intraluminal Device, Manufactured Integrated System, Four or more Arteries. Body part value is E, combining thoracic and abdominal aorta, making only one code necessary.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Prademagene Zamikeracel (pz-cel) • Treats recessive dystrophic epidermolysis bullosa (RDEB)-mutation of COL7A1 gene • Multi-layered epidermal sheets that contain functional copies of the patient’s COL7A1 gene https://www.abeonatherapeutics.com/science
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions XHR0XGA Replacement of Head and Neck Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy , External Approach, New Technology Group 10 XHR1XGA Replacement of Chest Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, Extern al Approach, New Technology Group 10 XHR2XGA Replacement of Abdomen Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, Exte rnal Approach, New Technology Group 10 XHR3XGA Replacement of Back Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, Externa l Approach, New Technology Group 10 XHR4XGA Replacement of Right Upper Extremity Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10 XHR5XGA Replacement of Left Upper Extremity Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10 XHR6XGA Replacement of Right Lower Extremity Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10 XHR7XGA Replacement of Left Lower Extremity Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10 The Device/Substance/Technology value for pz-cel is G, Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy. If the biopsies are obtained during the same admission, both the biopsies (harvesting) and the replacement are coded.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Fixation of Lumbar Facet Joint • Facet FiXation (FFX®) device • Treats facet joint degeneration (facet syndrome) • Posterior cages to fuse the posterior elements of the spine at one level https://thespinemarketgroup.com/sc-medica-announces-landmark-fda-clearance-for-its-ffx-facet-cage-for-lumbar-spinal-fusion/
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions XRGA0EA Fusion of Thoracolumbar Vertebral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10 XRGB0EA Fusion of Lumbar Vertebral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10 XRGC0EA Fusion of 2 or more Lumbar Vertebral Joints using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10 XRGD0EA Fusion of Lumbosacral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10 The Device/Substance/Technology value for the FFX® device is E, Facet Joint Fusion Device, Paired Titanium Cages. This device is paired and the code is assigned once per pody part listed in the XRG table.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Tibiotalocalcaneal (TTC) Fusion • Restor3d TIDAL™ Fusion Cage • Used to fuse both the ankle joint and tarsal joint as a unit www.libmaneducation.com
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions XRGJ0CA Fusion of Right Ankle Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10 XRGK0CA Fusion of Left Ankle Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10 XRGL0CA Fusion of Right Tarsal Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10 XRGM0CA Fusion of Left Tarsal Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10 The Device/Substance/Technology value for the TIDAL™ Fusion Cage is value C, Internal Fixation Device, Gyroid-Sheet Lattice Design, based on how the surface of the device is formed. Both the ankle joint and the tarsal joint are coded and both are coded with value C to describe this procedure.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Posterior Fixation of Thoracolumbar Spine • VADER® Pedicle System • Stabilization system for the spine • Used to treat spinal infection or spinal neoplasms • Made of carbon fiber reinforced PEEK (Polyeteretherketone), which may be documented as “carbon/PEEK” or “BlackArmor ®. https://www.icotec-medical.com/en-us/implants/vader-pedicle-system/
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions The Device/Substance/Technology value for the VADER® Pedicle System is F, Carbon/PEEK Spinal Stabilization Device, Pedicle Based.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions XRH60FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approac h, New Technology Group 10 XRH63FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Approach, New Technology Group 10 XRH64FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 10 XRH70FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 to 7 Thoracic Vertebral Joints, Open Approach, New Technology Group 10 XRH73FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 to 7 Thoracic Vertebral Joints, Perc utaneous Approach, New Technology Group 10 XRH74FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 to 7 Thoracic Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10 XRH80FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 8 or more Thoracic Vertebral Joints, O pen Approach, New Technology Group 10 XRH83FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 8 or more Thoracic Vertebral Joints, Percutaneous Approach, New Technology Group 10 XRH84FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 8 or more Thoracic Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10 XRHA0FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach, New Technology Group 10 XRHA3FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach, New Technology Group 10 XRHA4FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 10 XRHB0FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach, New Technology Group 10 XRHB3FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach, New Technology Group 10 XRHB4FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 10 XRHC0FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 or more Lumbar Vertebral Joints, Open Approach, New Technology Group 10 XRHC3FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 or more Lumbar Vertebral Joints, Per cutaneous Approach, New Technology Group 10 XRHC4FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 or more Lumbar Vertebral Joints, Per cutaneous Endoscopic Approach, New Technology Group 10 XRHD0FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Open Approach, New Technology Group 10 XRHD3FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach, New Technology Group 10 XRHD4FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach, New Technology Group 10
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Dasiglucagon XW0136A Introduction of Dasiglucagon into Subcutaneous Tissue, Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value is 6, Dasiglucagon. • Treatment for congenital hyperinsulinism (CHI) • Drug is released by wearable pump • ZEGALOGUE ®
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Obecabtagene Autoleucel (Obe-cel) XW0338A Introduction of Obecabtagene Autoleucel into Peripheral Vein, Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value is 8, Obecabtagene Autoleucel. XW0438A Introduction of Obecabtagene Autoleucel into Central Vein, Percutaneous Approach, New Technology Group 10 • CAR-T cell therapy • Used to treat relapsed/refractory B-cell precursor acute lymphoblastic leukemia (B-ALL)
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions, Deletions, and Revisions Donislecel-jujn Allogeneic Pancreatic Islet Cellular Suspension XW033DA Introduction of Donislecel-jujn Allogeneic Pancreatic Islet Cellular Suspension into Peripheral Vein, Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value is D, Donislecel-jujn Allogeneic Pancreatic Islet Cellular Suspension. • Cellular therapy for treatment of adults with Type 1 diabetes (Lantidra™)
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Non-Chimeric Immune Effector Cell Therapy XW033FA Introduction of Non-Chimeric Antigen Receptor T-cell Immune Effector Cell Therapy into Peripheral Vein, Percutaneous Approach, New Technology Group 10 XW043FA Introduction of Non-Chimeric Antigen Receptor T-cell Immune Effector Cell Therapy into Central Vein, Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value for this new generic value is F, Non-Chimeric Antigen Receptor T- Cell Immune Effector Cell Therapy. The body part is assigned to describe the route of administration. • Generic value for immune effector cell therapy (Used for: T-cell (TCR-T) Therapy, T-cell Antigen Coupler T-cell (TAC-T) Therapy, Tumor-Infiltrating Lymphocyte (TIL) Therapy)
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Bentracimab XW0433A Introduction of Bentracimab, Ticagrelor Reversal Agent into Central Vein, Percutaneous Approach, New Technolog y Group 10 The Device/Substance/Technology value is 3, Bentracimab, Ticagrelor Reversal Agent. Body part 3 or 4 is chosen based on the route of administration. XW0333A Introduction of Bentracimab, Ticagrelor Reversal Agent into Peripheral Vein, Percutaneous Approach, New Techno logy Group 10 • Monoclonal antibody • Used to reverse antiplatelet activity of ticarelor (Brilinta), an oral P2Y12 inhibitor
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Cefepime-taniborbactam XW0434A Introduction of Cefepime-taniborbactam Anti-infective into Central Vein, Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value is 4, Cefepime-taniborbactam Anti-infective. The body part value describes the route of administration. XW0334A Introduction of Cefepime-taniborbactam Anti-infective into Peripheral Vein, Percutaneous Approach, New Technology Group 10 • Treats complicated UTIs, hospital-acquired and ventilator-associated bacterial pneumonia, and multi-drug resistant organisms (MDRO)
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Ceftobiprole Medocaril XW0435A Introduction of Ceftobiprole Medocaril Anti-infective into Central Vein, Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value is 5, Ceftobiprole Medocaril Anti-infective. The body part value is assigned to describe the route of administration. XW0335A Introduction of Ceftobiprole Medocaril Anti-infective into Peripheral Vein, Percutaneous Approach, New Technology Group 10 • Treats staphylococcus aureus bacteria, right-sided infective endocarditis (RIE), acute bacterial skin and skin structure infections (ABSSSI), and community acquired bacterial pneumonia • Zevtera®
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Odronextramab XW0439A Introduction of Odronextamab Antineoplastic into Central Vein, Percutaneous Approach, New Technology Group 10 XW0339A Introduction of Odronextamab Antineoplastic into Peripheral Vein, Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value is 9, Odronextramab Antineoplastic. The body part is assigned to describe the route of administration. • Treats relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL) or relapsed/refractory follicular lymphoma (R/R FL)
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Orca-T Allogeneic T-Cell Immunotherapy XW043BA Introduction of Orca-T Allogeneic T-cell Immunotherapy into Central Vein, Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value is B, Orca-T Allogeneic T-cell Immunotherapy. The body part is assigned to describe the route of administration. XW033BA Introduction of Orca-T Allogeneic T-cell Immunotherapy into Peripheral Vein, Percutaneous Approach, New Technology Group 10 • Goal is to build long-term and short-term immunity from a healthy matched donor while protecting against toxicities, such as Graf-versus-host disease (GVHD).
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Zanidatamab XW043CA Introduction of Zanidatamab Antineoplastic into Central Vein, Percutaneous Approach, New Technology Group 10 XW033CA Introduction of Zanidatamab Antineoplastic into Peripheral Vein, Percutaneous Approach, New Technology Group 1 0 The Device/Substance/Technology value is C, Zanidatamab Antineoplastic. The body part value is assigned based on the route of administration. • Used to treat metastatic HER-2 positive biliary tract cancer (BTC)
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Paclitaxel-Coated Coronary Balloon • AGENT™ Paclitaxel-Coated Balloon Catheter • Treats in-stent restenosis in coronary arteries • Look for documentation of “DCB” or “drug-coated balloon” treatment https://www.bostonscientific.com/us/en/healthcare-professionals/products/balloons-catheters- and-guidewires/drug-coated-balloons/agent-drug-coated-balloon/fp00000400.html
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions The Device/Substance/Technology name is Paclitaxel-Coated Balloon Technology and values H, J, K, and L describe the use of one balloon through four or more balloons. Body part values J, K, L, and M describe the number of coronary arteries treated with the Paclitaxel-Coated Balloon(s). The dilation of the coronary artery, or arteries, is coded separately in the 027 table and only the use of the balloon to transfer the drug to the artery wall is coded here in New Technology.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions XW0J3HA Introduction of Paclitaxel-Coated Balloon Technology, One Balloon into Coronary Artery, One Artery, Percutaneo us Approach, New Technology Group 10 XW0J3JA Introduction of Paclitaxel-Coated Balloon Technology, Two Balloons into Coronary Artery, One Artery, Percutane ous Approach, New Technology Group 10 XW0J3KA Introduction of Paclitaxel-Coated Balloon Technology, Three Balloons into Coronary Artery, One Artery, Percuta neous Approach, New Technology Group 10 XW0J3LA Introduction of Paclitaxel-Coated Balloon Technology, Four or More Balloons into Coronary Artery, One Artery, Percutaneous Approach, New Technology Group 10 XW0K3HA Introduction of Paclitaxel-Coated Balloon Technology, One Balloon into Coronary Artery, Two Arteries, Percutaneous Approach, New Technology Group 10 XW0K3JA Introduction of Paclitaxel-Coated Balloon Technology, Two Balloons into Coronary Artery, Two Arteries, Percutaneous Approach, New Technology Group 10 XW0K3KA Introduction of Paclitaxel-Coated Balloon Technology, Three Balloons into Coronary Artery, Two Arteries, Percutaneous Approach, New Technology Group 10 XW0K3LA Introduction of Paclitaxel-Coated Balloon Technology, Four or More Balloons into Coronary Artery, Two Arteries , Percutaneous Approach, New Technology Group 10 XW0L3HA Introduction of Paclitaxel-Coated Balloon Technology, One Balloon into Coronary Artery, Three Arteries, Percut aneous Approach, New Technology Group 10 XW0L3JA Introduction of Paclitaxel-Coated Balloon Technology, Two Balloons into Coronary Artery, Three Arteries, Percu taneous Approach, New Technology Group 10 XW0L3KA Introduction of Paclitaxel-Coated Balloon Technology, Three Balloons into Coronary Artery, Three Arteries, Per cutaneous Approach, New Technology Group 10 XW0L3LA Introduction of Paclitaxel-Coated Balloon Technology, Four or More Balloons into Coronary Artery, Three Arteri es, Percutaneous Approach, New Technology Group 10 XW0M3HA Introduction of Paclitaxel-Coated Balloon Technology, One Balloon into Coronary Artery, Four or More Arteries, Percutaneous Approach, New Technology Group 10 XW0M3JA Introduction of Paclitaxel-Coated Balloon Technology, Two Balloons into Coronary Artery, Four or More Arteries , Percutaneous Approach, New Technology Group 10 XW0M3KA Introduction of Paclitaxel-Coated Balloon Technology, Three Balloons into Coronary Artery, Four or More Arteri es, Percutaneous Approach, New Technology Group 10 XW0M3LA Introduction of Paclitaxel-Coated Balloon Technology, Four or More Balloons into Coronary Artery, Four or More Arteries, Percutaneous Approach, New Technology Group 10
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Vancomycin Hydrochloride and Tobramycin Sulfate Anti-Infective, Temporary Irrigation Spacer System XW0U0GA Introduction of Vancomycin Hydrochloride and Tobramycin Sulfate Anti-Infective, Temporary Irrigation Spacer System into Joints, Open Approach, New Technology Group 10 The Device/Substance/Technology value is G, Vancomycin Hydrochloride and Tobramycin Sulfate Anti-infective, Temporary Irrigation Spacer System. • Treats infected joint space by providing antibiotics directly into the joint space There are no additional codes for inserting or removing the spacer. The removal of the infected prosthesis, and the re- replacement of the joint are coded separately.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Osteo-Enhanced (AGN1) Bone Void Filler XW0V3WA Introduction of AGN1 Bone Void Filler into Bones, Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value is W, AGN1 Bone Void Filler. • Ossure™ • Injectable used to fill voids in the proximal femur to prevent hip fracture
© Health Catalyst. Confidential and Proprietary. XW033K5 Introduction of Fosfomycin Anti-infective into Peripheral Vein, Percutaneous Approach, New Technology Group 5 XW033N5 Introduction of Meropenem-vaborbactam Anti-infective into Peripheral Vein, Percutaneous Approach, New Technology Group 5 XW033U5 Introduction of Imipenem-cilastatin-relebactam Anti-infective into Peripheral Vein, Percutaneous Approach, New Technology Group 5 XW043K5 Introduction of Fosfomycin Anti-infective into Central Vein, Percutaneous Approach, New Technology Group 5 XW043N5 Introduction of Meropenem-vaborbactam Anti-infective into Central Vein, Percutaneous Approach, New Technology Group 5 XW043U5 Introduction of Imipenem-cilastatin-relebactam Anti-infective into Central Vein, Percutaneous Approach, New Technology Group 5 XW097M5 Introduction of Esketamine Hydrochloride into Nose, Via Natural or Artificial Opening, New Technology Group 5 XW0DXJ5 Introduction of Apalutamide Antineoplastic into Mouth and Pharynx, External Approach, New Technology Group 5 XW0DXL5 Introduction of Erdafitinib Antineoplastic into Mouth and Pharynx, External Approach, New Technology Group 5 XW0DXR5 Introduction of Venetoclax Antineoplastic into Mouth and Pharynx, External Approach, New Technology Group 5 XW0DXT5 Introduction of Ruxolitinib into Mouth and Pharynx, External Approach, New Technology Group 5 XW0DXV5 Introduction of Gilteritinib Antineoplastic into Mouth and Pharynx, External Approach, New Technology Group 5 ICD-10-PCS Deletions
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Marnetegragene Autotemcel (RP-L201) XW1337A Transfusion of Marnetegragene Autotemcel into Peripheral Vein, Percutaneous Approach, New Technology Group 10 XW1437A Transfusion of Marnetegragene Autotemcel into Central Vein, Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value is 7, Marnetegragene Autotemcel. The body part is assigned to describe the route of administration • Kresladi™ • Gene therapy used to treat severe Leukocyte Adhesion Deficiency Type I (LAD-I)
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Continuous Monitoring and Assessment of Vascular Blood Flow • FloPatch (FP120) • Wireless, wearable monitor • Compares blood flow in the jugular vein and carotid artery in the neck • Assists with fluid resuscitation in sepsis
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions XX25X0A Monitoring of Blood Flow, Adhesive Ultrasound Patch Technology, New Technology Group 10 The Device/Substance/Technology value is 0, Blood Flow, Adhesive Ultrasound Patch Technology.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Extracorporeal Blood Pathogen Removal • Seraph® 100 Microbind® Affinity Blood Filter • Ultra-high molecular weight polyethylene heparin microbeads that bind to bacteria and viruses to remove them from blood https://extheramedical.com/seraph-100-microbind-affinity-blood-filter/
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions XXA536A Circulatory Filtration, Blood Pathogens, Percutaneous Approach, New Technology Group 10 The Device/Substance/Technology value for the Seraph® 100 Blood Pathogen Removal is 6, Filtration, Blood Pathogens.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Measurement of Intracranial CSF Flow • Annalise Triage Obstructive Hydrocephalus • Uses AI intelligence • Interprets brain CT studies, prioritizing suspected obstructive hydrocephalus findings https://annalise.ai/2024/08/annalise-ai-granted-medicare-new-technology-add-on-payment-ntap/
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions XXE0X1A Measurement of Intracranial Cerebrospinal Fluid Flow, Computer-aided Triage and Notification, New Technology Group 10 The Device/Substance/Technology value is 1, Intracranial Cerebrospinal Fluid Flow, Computer-aided Triage and Notification.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Rapid Antimicrobial Susceptibility Testing • ASTar® System • Used to assist with treating blood stream infections https://qlinea.com/us/astar-in-the-lab/astar/astar-instrument/
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions XXE5X2A Measurement of Infection, Phenotypic Fully Automated Rapid Susceptibility Technology with Controlled Inoculum, New Technology Group 10 The Device/Substance/Technology value is 2, Infection, Phenotypic Fully Automated Rapid Susceptibility Technology with Controlled Inoculum.
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions Susceptibility Testing of Blood Cultures • VITEK® REVEAL™ Rapid AST • Assists with determining antibiotic dosing https://www.biomerieux.com/
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Additions XXE5X4A Measurement of Infection, Positive Blood Culture Small Molecule Sensor Array Technology, New Technology Group 10 The Device/Substance/Technology value is 4, Infection, Positive Blood Culture Small Molecule Sensor Array Technology.
© Health Catalyst. Confidential and Proprietary. XXE5XM5 Measurement of Infection, Whole Blood Nucleic Acid-base Microbial Detection, New Technology Group 5 ICD-10-PCS Deletions
© Health Catalyst. Confidential and Proprietary. Resources 2025 ICD-10-PCS Coding. Centers for Medicare & Medicaid Services. https://www.cms.gov/medicare/coding-billing/icd-10-codes/2025-icd-10-pcs FY 2025 Code Updates: CM & PCS. Libman Education. https://libmaneducation.com/ Other resource links included throughout presentation slides
Questions? © Health Catalyst. Confidential and Proprietary. Q&A Document can be found on Healthcatalyst.com under Resources/Webinars