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Procedure Inconsistent with LOS - ICD-10-PCS Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding claims data. The following 1 ICD-10-PCS codes are intended for procedure inconsistent with los. 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.

  • Performance of Physiological Systems

    • 5A1955Z - Respiratory Ventilation, Greater than 96 Consecutive Hours