ICD-10-PCS Section: X - New Technology
New Technology
Section X New Technology is a section added to ICD-10-PCS beginning October 1, 2015. The new section provides a place for codes that uniquely identify procedures requested via the New Technology Application Process or that capture other new technologies not currently classified in ICD-10-PCS.
The new section is simply a separate place for certain new technology procedures, such as infusion of new technology drugs, and was created because the public did not support adding any more of these types of codes to the other sections of ICD-10-PCS. Section X does not introduce any new coding concepts or unusual guidelines for correct coding. In fact, Section X codes maintain continuity with the other sections in ICD-10-PCS by using the same root operation and body part values as their closest counterparts in other sections of ICD-10-PCS. For example, the two new codes for the infusion of ceftazidime-avibactam, a new technology antibiotic that requires unique procedure codes for October 1, 2015, use the same root operation (Introduction) and body part values (Central Vein and Peripheral Vein) in section X as the infusion codes in section 3 Administration, which are their closest counterparts in the other sections of ICD-10-PCS.
In ICD-10-PCS, the information specified in the seventh character is called the qualifier, and the type of information specified depends on the section. In section X, the seventh character is used exclusively to indicate the new technology group.
The New Technology Group is a number or letter that changes each year that new technology codes are added to the system. For example, Section X codes added for the first year have the seventh character value 1, New Technology Group 1, and the next year that Section X codes are added have the seventh character value 2 New Technology Group 2, and so on. This is a much simpler use of the qualifier than in many other sections of ICD-10-PCS, such as the Medical and Surgical section.
Because it is only used to indicate the update year the code was created, there are no special coding instructions or requirements for the use of the qualifier, because all codes for a particular new technology procedure will all have the same qualifier. Therefore, the New Technology Group has no impact for correct coding. Its function is to allow the section to maintain consistency between the root operation and body part values of the other sections, as described above, and to allow the section to evolve over time, as medical technology evolves.
Coding Instruction
Section X codes are standalone codes. They are not supplemental codes. Section X codes fully represent the specific procedure described in the code title, and do not require any additional codes from other sections of ICD-10-PCS. When section X contains a code title which describes a specific new technology procedure, only that X code is reported for the procedure. There is no need to report a broader, non-specific code in another section of ICD-10-PCS.
For example, code XW04321 Introduction of Ceftazidime-Avibactam Anti-infective into Central Vein, Percutaneous Approach, New Technology Group 1, would be reported to indicate that Ceftazidime-Avibactam Anti-infective was administered via central vein. A separate code from table 3E0 in the Administration section of ICD-10-PCS would not be reported in addition to this code. The X section code fully identifies the administration of the ceftazidime-avibactam antibiotic, and no additional code is needed.
- Body System X0 - Nervous System
- Body System X2 - Cardiovascular System
- Body System XD - Gastrointestinal System
- Body System XF - Hepatobiliary System and Pancreas
- Body System XH - Skin, Subcutaneous Tissue, Fascia and Breas
- Body System XK - Muscles, Tendons, Bursae and Ligaments
- Body System XN - Bones
- Body System XR - Joints
- Body System XT - Urinary System
- Body System XV - Male Reproductive System
- Body System XW - Anatomical Regions
- Body System XX - Physiological Systems
- Body System XY - Extracorporeal
X2 - Cardiovascular System
X27 - Dilation - Expanding an orifice or the lumen of a tubular body part
X28 - Division - Cutting into a body part, without draining fluids and/or gases from the body part, inorder to separate or transect a body part
X2A - Assistance - Taking over a portion of a physiological function by extracorporeal means
X2C - Extirpation - Taking or cutting out solid matter from a body part
X2H - Insertion - Putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part
X2J - Inspection - Visually and/or manually exploring a body part
X2K - Bypass - Altering the route of passage of the contents of a tubular body part
X2R - Replacement - Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
X2U - Supplement - Putting in or on biological or synthetic material that physically reinforces and/oraugments the function of a portion of a body part
X2V - Restriction - Partially closing an orifice or the lumen of a tubular body part
X27 - Dilation - Expanding an orifice or the lumen of a tubular body part
X28 - Division - Cutting into a body part, without draining fluids and/or gases from the body part, inorder to separate or transect a body part
X2A - Assistance - Taking over a portion of a physiological function by extracorporeal means
X2C - Extirpation - Taking or cutting out solid matter from a body part
X2H - Insertion - Putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part
X2J - Inspection - Visually and/or manually exploring a body part
X2K - Bypass - Altering the route of passage of the contents of a tubular body part
X2R - Replacement - Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
X2U - Supplement - Putting in or on biological or synthetic material that physically reinforces and/oraugments the function of a portion of a body part
X2V - Restriction - Partially closing an orifice or the lumen of a tubular body part
XH - Skin, Subcutaneous Tissue, Fascia and Breast
XHR - Replacement - Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
XK - Muscles, Tendons, Bursae and Ligaments
XK0 - Introduction - Putting in or on a therapeutic, diagnostic, nutritional, physiological or prophylactic substance except blood or blood products
XKU - Supplement - Putting in or on biological or synthetic material that physically reinforces and/oraugments the function of a portion of a body part
XN - Bones
XNH - Insertion - Putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part
XNR - Replacement - Putting in or on biological or synthetic material that physically takes the placeand/or function of all or a portion of a body part
XNS - Reposition - Moving to its normal location or other suitable location all or a portion of a body part
XNU - Supplement - Putting in or on biological or synthetic material that physically reinforces and/oraugments the function of a portion of a body part
XR - Joints
XR2 - Monitoring - Determining the level of a physiological or physical function repetitively over a period of time
XRG - Fusion - Joining together portions of an articular body part rendering the articular body part immobile
XRH - Insertion - Putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part
XRR - Replacement - Putting in or on biological or synthetic material that physically takes the placeand/or function of all or a portion of a body part
XW - Anatomical Regions
XW0 - Introduction - Putting in or on a therapeutic, diagnostic, nutritional, physiological or prophylactic substance except blood or blood products
XW1 - Transfusion - Putting in blood or blood products
XW2 - Transfusion - Putting in blood or blood products
XWH - Insertion - Putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part
XW0 - Introduction - Putting in or on a therapeutic, diagnostic, nutritional, physiological or prophylactic substance except blood or blood products
XW1 - Transfusion - Putting in blood or blood products
XW2 - Transfusion - Putting in blood or blood products
XWH - Insertion - Putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part
XY - Extracorporeal
XY0 - Introduction - Putting in or on a therapeutic, diagnostic, nutritional, physiological or prophylactic substance except blood or blood products
XT - Urinary System
XT2 - Monitoring - Determining the level of a physiological or physical function repetitively over a periodof time
XV - Male Reproductive System
XV5 - Destruction - Physical eradication of all or a portion of a body part by the direct use of energy,force, or a destructive agent
XX - Physiological Systems
XX2 - Monitoring - Determining the level of a physiological or physical function repetitively over a periodof time
XXA - Assistance - Taking over a portion of a physiological function by extracorporeal means
XXE - Measurement - Determining the level of a physiological or physical function at a point in time
X2 - Cardiovascular System
X27 - Dilation - Expanding an orifice or the lumen of a tubular body part
X28 - Division - Cutting into a body part, without draining fluids and/or gases from the body part, inorder to separate or transect a body part
X2A - Assistance - Taking over a portion of a physiological function by extracorporeal means
X2C - Extirpation - Taking or cutting out solid matter from a body part
X2H - Insertion - Putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part
X2J - Inspection - Visually and/or manually exploring a body part
X2K - Bypass - Altering the route of passage of the contents of a tubular body part
X2R - Replacement - Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
X2U - Supplement - Putting in or on biological or synthetic material that physically reinforces and/oraugments the function of a portion of a body part
X2V - Restriction - Partially closing an orifice or the lumen of a tubular body part
X27 - Dilation - Expanding an orifice or the lumen of a tubular body part
X28 - Division - Cutting into a body part, without draining fluids and/or gases from the body part, inorder to separate or transect a body part
X2A - Assistance - Taking over a portion of a physiological function by extracorporeal means
X2C - Extirpation - Taking or cutting out solid matter from a body part
X2H - Insertion - Putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part
X2J - Inspection - Visually and/or manually exploring a body part
X2K - Bypass - Altering the route of passage of the contents of a tubular body part
X2R - Replacement - Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
X2U - Supplement - Putting in or on biological or synthetic material that physically reinforces and/oraugments the function of a portion of a body part
X2V - Restriction - Partially closing an orifice or the lumen of a tubular body part
XD - Gastrointestinal System
XD2 - Monitoring - Determining the level of a physiological or physical function repetitively over a periodof time
XDP - Irrigation - Putting in or on a cleansing substance
XF - Hepatobiliary System and Pancreas
XF5 - Destruction - Physical eradication of all or a portion of a body part by the direct use of energy,force, or a destructive agent
XFJ - Inspection - Visually and/or manually exploring a body part
XW - Anatomical Regions
XW0 - Introduction - Putting in or on a therapeutic, diagnostic, nutritional, physiological or prophylactic substance except blood or blood products
XW1 - Transfusion - Putting in blood or blood products
XW2 - Transfusion - Putting in blood or blood products
XWH - Insertion - Putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part
XW0 - Introduction - Putting in or on a therapeutic, diagnostic, nutritional, physiological or prophylactic substance except blood or blood products
XW1 - Transfusion - Putting in blood or blood products
XW2 - Transfusion - Putting in blood or blood products
XWH - Insertion - Putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part
X0 - Nervous System
X05 - Destruction - Physical eradication of all or a portion of a body part by the direct use of energy,force, or a destructive agent
X0H - Insertion - Putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part
X0Z - Other Procedures - Methodologies which attempt to remediate or cure a disorder or disease
