This link describes the process:
Process for Requesting New/Revised ICD-10-PCS Procedure Codes | CMS
A coordinator will help to put the proposal into the proper format. A meeting to review the proposal will be scheduled. The author may speak to present the proposal, or may choose to just answer questions. In the absense of strong, evidence based objections, the proposal is likely to be adopted. Your proposal cannot be any more edgy than these.
https://www.healthcaredive.com/news/the-16-most-absurd-icd-10-codes/285737/
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