25 Questions
How many characters are ICD-10-PCS codes composed of?
Seven characters
Which of the following is a valid value for an axis of classification in ICD-10-PCS codes?
Number 9
How many possible values can be assigned to each axis of classification in the seven-character ICD-10-PCS code?
34 possible values
Can the valid values for an axis of classification be added to as needed in ICD-10-PCS codes?
Yes, they can be added to as needed
What is the number of unique values currently used to specify the approach in the fifth axis of classification in ICD-10-PCS codes?
Seven unique values
What does the meaning of any single value in ICD-10-PCS codes depend on?
Its axis of classification and any preceding values on which it may be dependent
Which body part value in the Central Nervous body system specifies Brain?
0
When is it required to consult the index before proceeding to the tables to complete the code?
Always
What is the responsibility of the coder in determining the correlation between the documentation in the medical record and the defined PCS terms?
The coder is responsible for this correlation
When is it not required to specify all seven characters to have a valid code?
It is never required
What does 'and' mean when used in a code description?
And/or
When are multiple procedures coded during the same operative episode?
If the same root operation is performed on different body parts
How should multiple root operations performed on the same body part be coded?
They should be coded separately
What should be done if the intended root operation is attempted using one approach but converted to a different approach?
Code it as per the actual procedure performed
How should discontinued or incomplete procedures be coded?
To the root operation performed
How are biopsy procedures coded?
Using the root operations Excision, Extraction, or Drainage with the qualifier Diagnostic
What should be done if a biopsy is followed by a more definitive treatment at the same site?
Both the biopsy and the more definitive treatment are coded
How should bypass procedures be coded?
By identifying the body part bypassed 'from' and the body part bypassed 'to'
Which root operation is coded for embolization procedures with the objective of completely closing a vessel?
Occlusion
For spinal fusion procedure codes, how are combinations of devices and materials on a vertebral joint typically handled?
Specific coding guidelines for each scenario
In the context of inspection procedures, which body part is coded when multiple tubular body parts are inspected?
The most distal body part
What root operation is used for separating or transecting a body part?
Division
How is the application of a cast or splint coded in relation to the reduction of a displaced fracture?
Not coded separately
For transplantation procedures, what is involved according to the coding guidelines?
Putting in a mature and functioning living body part taken from another individual or animal
When is the inspection procedure coded separately from another procedure?
When performed using a different approach than the other procedure
Study Notes
Medical Procedure Coding Guidelines
- Spinal fusion procedure codes are classified by the level of the spine and the number of vertebral joints involved.
- A separate procedure is coded for each vertebral joint fused using a different device and/or qualifier.
- Combinations of devices and materials are often used on a vertebral joint to render it immobile, with specific coding guidelines for each scenario.
- Inspection of a body part performed to achieve the objective of a procedure is not coded separately.
- When multiple tubular body parts are inspected, the most distal body part is coded; for non-tubular body parts, the part specifying the entire area inspected is coded.
- If the inspection procedure is performed using a different approach than the other procedure, it is coded separately.
- The root operation "Occlusion" is coded for embolization procedures with the objective of completely closing a vessel, while "Restriction" is coded for procedures aiming to narrow the lumen of a vessel.
- In the root operation "Release," the body part being freed is coded, not the tissue being manipulated or cut to free the body part.
- The root operation "Release" is used for freeing a body part without cutting it, while "Division" is used for separating or transecting a body part.
- Reduction of a displaced fracture is coded to the root operation "Reposition," and the application of a cast or splint is not coded separately.
- Transplantation involves putting in a mature and functioning living body part taken from another individual or animal, while the administration section is used for putting in autologous or nonautologous cells.
- Transfer procedures using multiple tissue layers require proper coding based on the specific details of the procedure.
Test your knowledge of medical procedure coding guidelines with this quiz. Covering topics such as spinal fusion, inspection procedures, embolization, release operations, fracture reduction, and transplantation, this quiz will help you understand the specific coding guidelines for various medical procedures.
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