2024 ICD-10-CM Procedure Code 5A1955Z
Respiratory Ventilation, Greater than 96 Consecutive Hours
- ICD-10-PCS Code:
- 5A1955Z
- ICD-10-PCS Code for:
- Respiratory Ventilation, Greater than 96 Consecutive Hours
- Is Billable?
- Yes - Valid for Submission
- Code Navigator:
5A1955Z is a billable procedure code used to specify the performance of respiratory ventilation, greater than 96 consecutive hours. The code is valid for the year 2024 for the submission of HIPAA-covered transactions.
5A1955Z PCS Table
In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the extracorporeal or systemic assistance and performance section and is part of the physiological systems body system, classified under performance operation. The applicable bodysystem for this procedure code is respiratory.
Position | Designation | Character | Label | Procedures Notes |
---|---|---|---|---|
1 | Section | 5 | Extracorporeal or Systemic Assistance and Performance | |
2 | Body System | A | Physiological Systems | |
3 | Operation | 1 | Performance | Involves: |
4 | BodySystem | 9 | Respiratory | |
5 | Duration | 5 | Greater than 96 Consecutive Hours | |
6 | Function | 5 | Ventilation | |
7 | Qualifier | Z | No Qualifier | Explanation: |
Clinical Classification
Clinical Category is Mechanical ventilation
- CCSR Category Code: ESA003
- Clinical Domain is Extracorporeal or Systemic Assistance and Performance - ESA contains 11 categories that include procedures that occur outside the body or within a body system to assist the body with performing a physiological function. Examples include hemodialysis, mechanical ventilation, and cardiac pacing.
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Procedure Inconsistent with LOS - this code is intended for the following procedure code should only be coded on claims when the respiratory ventilation is provided for greater than four consecutive days during the length of stay.
Convert to ICD-9-PCS
The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:
- ICD-9-PCS: 9670 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent. - ICD-9-PCS: 9672 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
Other ICD-10-PCS Codes Used for Performance Respiratory
What is ICD-10-PCS?
The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2024 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2023 through September 30, 2024.
Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.