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Questions and Answers
How many characters are ICD-10-PCS codes composed of?
How many characters are ICD-10-PCS codes composed of?
- Six characters
- Five characters
- Eight characters
- Seven characters (correct)
Which of the following is a valid value for an axis of classification in ICD-10-PCS codes?
Which of the following is a valid value for an axis of classification in ICD-10-PCS codes?
- Number 11
- Letter I
- Number 9 (correct)
- Letter O
How many possible values can be assigned to each axis of classification in the seven-character ICD-10-PCS code?
How many possible values can be assigned to each axis of classification in the seven-character ICD-10-PCS code?
- 10 possible values
- 34 possible values (correct)
- 30 possible values
- 20 possible values
Can the valid values for an axis of classification be added to as needed in ICD-10-PCS codes?
Can the valid values for an axis of classification be added to as needed in ICD-10-PCS codes?
What is the number of unique values currently used to specify the approach in the fifth axis of classification in ICD-10-PCS codes?
What is the number of unique values currently used to specify the approach in the fifth axis of classification in ICD-10-PCS codes?
What does the meaning of any single value in ICD-10-PCS codes depend on?
What does the meaning of any single value in ICD-10-PCS codes depend on?
Which body part value in the Central Nervous body system specifies Brain?
Which body part value in the Central Nervous body system specifies Brain?
When is it required to consult the index before proceeding to the tables to complete the code?
When is it required to consult the index before proceeding to the tables to complete the code?
What is the responsibility of the coder in determining the correlation between the documentation in the medical record and the defined PCS terms?
What is the responsibility of the coder in determining the correlation between the documentation in the medical record and the defined PCS terms?
When is it not required to specify all seven characters to have a valid code?
When is it not required to specify all seven characters to have a valid code?
What does 'and' mean when used in a code description?
What does 'and' mean when used in a code description?
When are multiple procedures coded during the same operative episode?
When are multiple procedures coded during the same operative episode?
How should multiple root operations performed on the same body part be coded?
How should multiple root operations performed on the same body part be coded?
What should be done if the intended root operation is attempted using one approach but converted to a different approach?
What should be done if the intended root operation is attempted using one approach but converted to a different approach?
How should discontinued or incomplete procedures be coded?
How should discontinued or incomplete procedures be coded?
How are biopsy procedures coded?
How are biopsy procedures coded?
What should be done if a biopsy is followed by a more definitive treatment at the same site?
What should be done if a biopsy is followed by a more definitive treatment at the same site?
How should bypass procedures be coded?
How should bypass procedures be coded?
Which root operation is coded for embolization procedures with the objective of completely closing a vessel?
Which root operation is coded for embolization procedures with the objective of completely closing a vessel?
For spinal fusion procedure codes, how are combinations of devices and materials on a vertebral joint typically handled?
For spinal fusion procedure codes, how are combinations of devices and materials on a vertebral joint typically handled?
In the context of inspection procedures, which body part is coded when multiple tubular body parts are inspected?
In the context of inspection procedures, which body part is coded when multiple tubular body parts are inspected?
What root operation is used for separating or transecting a body part?
What root operation is used for separating or transecting a body part?
How is the application of a cast or splint coded in relation to the reduction of a displaced fracture?
How is the application of a cast or splint coded in relation to the reduction of a displaced fracture?
For transplantation procedures, what is involved according to the coding guidelines?
For transplantation procedures, what is involved according to the coding guidelines?
When is the inspection procedure coded separately from another procedure?
When is the inspection procedure coded separately from another procedure?
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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.
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