ICD-10-PCS Chapter 8 & 9 Flashcards
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Questions and Answers

What is a character in ICD-10-PCS?

An axis of classification that specifies information about the procedure performed

What is a value in ICD-10-PCS?

One of the 34 letters or numbers that can be selected to represent one of the characters in an ICD-10-PCS code

What does the fifth character in an ICD-10-PCS code represent?

Approach

What is a root operation in ICD-10-PCS?

<p>The third character in the code corresponding to the objective of the procedure</p> Signup and view all the answers

All ICD-10-PCS codes have a decimal structure.

<p>False</p> Signup and view all the answers

Each character in an ICD-10-PCS code represents an aspect of the procedure.

<p>True</p> Signup and view all the answers

What are the available values in an ICD-10-PCS code?

<p>0-9 and A-H, J-N, P-Z, no O or I</p> Signup and view all the answers

Which of the following is NOT part of the Medical Surgical Section in ICD-10-PCS?

<p>Degree</p> Signup and view all the answers

ICD-10-PCS is a classification of _________.

<p>inpatient procedures</p> Signup and view all the answers

What does the ICD-10-CM Official Guidelines for Coding and Reporting provide?

<p>General rules, inpatient coding guidance, and outpatient coding guidance from the four cooperating parties</p> Signup and view all the answers

What is the first step in ICD-PCS coding?

<p>Locate main term in the alphabetical list</p> Signup and view all the answers

What is involved in locating a table in ICD-PCS coding?

<p>Review section; review body system; review root operation; verify first 3 characters</p> Signup and view all the answers

Describe the procedure of building an ICD-10-PCS code.

<p>Select body part (4th); approach (5th); device (6th); qualifier (7th)</p> Signup and view all the answers

What does excision mean in medical coding?

<p>Cutting out or off, without replacement, a portion of a body part</p> Signup and view all the answers

What does resection mean in medical coding?

<p>Cutting out or off, without replacement, all of a body part</p> Signup and view all the answers

Study Notes

ICD-10-PCS Overview

  • ICD-10-PCS codes have an alphanumeric structure composed of 7 characters, without any decimals.
  • Each character acts as an axis of classification, detailing aspects of the medical procedure performed.

Key Terms

  • Character: Specifies information about the procedure within the ICD-10-PCS coding system.
  • Value: One of 34 possible letters or numbers (0-9, A-H, J-N, P-Z) used to represent a character in a code.

Code Structure

  • Medical-Surgical Section: Comprises different elements including Section, Body System, Root Operation, Body Part, Approach, Device, and Qualifier.
    • There are 17 sections in total.
    • Body System indicates the physiological system or anatomical region involved.
    • Root Operation defines the objective of the procedure, with 31 possible operations defined.
    • Body Part specifies the exact part of the body or anatomical site targeted in the procedure.

Coding Approach

  • Approach: The technique used to perform the procedure, represented by the fifth character in a code.
  • Device: Identifies if a device was used and left in/on the patient. Uses "Z" if no device was present.
  • Qualifier: Provides additional details about the procedure, using "X" for diagnostic purposes and "Z" for therapeutic or absent qualifiers.

Coding Steps

  • Locate the main term in the Alphabetic Index, referencing first 3-4 characters to build all 7 characters of the code.
  • Review the relevant section for tables that correspond to the procedure.
  • Continue building the code by selecting values from each column, ensuring to choose Body Part, Approach, Device, and Qualifier.

Types of Operations

  • Excision: Involves cutting out or off part of a body part without replacement.
  • Resection: Involves cutting out or off the entirety of a body part without replacement.

Additional Guidelines

  • ICD-10-CM Official Guidelines for Coding and Reporting provide rules and guidance for both inpatient and outpatient coding processes.
  • ICD-10-PCS specifically classifies inpatient procedures, ensuring consistent coding throughout various medical facilities.

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Description

This quiz features flashcards from ICD-10-PCS Chapter 8 and Chapter 9, focusing on essential terms such as 'character' and 'approach'. Each card provides definitions that clarify the coding procedures and classifications used in medical coding. Test your knowledge of these crucial concepts and understand their significance in healthcare documentation.

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