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CBCS ICD-10-PCS
ICD-10-PCS
| Question | Answer |
|---|---|
| What does ICD-10-PCS stand for? | International classification of Diseases, 10th revision, Procedure Coding System |
| What is the ICD-10-PCS used for? | Coding and reporting treatments in hospital and other inpatient settings |
| What Volume of the ICD-9-CM does the ICD-10-PCS replace? | Volume 3 procedure codes |
| How many sections are in the ICD-10-PCS? | 16 |
| What Characters are used in ICD-10-PCS? | Numbers 0-9 and Letters A-Z (no Letter O) |
| What character code indicates the Medical and Surgical section? | 0 |
| What Character code indicates the Substance Abuse treatment section? | H |
| What Character code indicates the Imaging section? | 9 |
| What character code indicates the Administration section | 3 |
| What character code indicates the Radiation Oncology Section? | D |
| How many Characters make up the ICD-10-PCS code? | 7 |
| Flush left bold indicates...? | The Main term in the Alphabetic Index |
| Cross reference "See" indicates...? | direction to the correct procedure or treatment main entry |
| Each Section of the ICD-10-PCS consists of...? | Tables that have the detailed information needed to assign the code |
| The ICD-10-PCS components are...? | Tables and Alphabetic index (Tables are organized in sections) |
| What does the top row of a table for a procedure code give you? | the first 3 characters |
| What does the subsequent rows of a table for a procedure code give you? | four columns that provide the option for the next 4 characters |
| The first 3 characters indicate..? | Section, Body System, Operation |
| The last 4 characters found in columns are..? | Body part, Approach, Device, Qualifier |
| ICD-10-PCS was published by...? | CMS-Center for Medicare and Medicaid Services |
| ICD-10-PCS was developed by...? | 3M Health Information System under contract with CMS |
| Character 3 for Radiation Oncology (in Section D) is called ______ instead of operation ? | Modality (instead of Operation) |
| Character 3for Substance Abuse Treatment (in Section H) is called_____instead of operation? | Type (instead of operation) |
| Explain Character I | Section (always identifies ICD-10-PCS section) Example: Medical and Surgical 0 |
| Explain Character 2 | Body System (general physiological system or anatomic region involving the procedure) Example: Gastrointestinal D |
| Explain Character 3 | Root operation (specific term that identifies the objective of the procedure) Example: Excision B |
| Explain Character 4 | Body Part (identifies body part/system/region, treatment site, or qualifier for the service performed. Example: small intestine 8 |
| Explain character 5 | Approach (approach or technique to reach the procedure site) Example: Via natural or artificial opening 7 |
| Explain character 6 | Device (a device, substance, equipment, isotope, Method Qualifier that is left in place or took place) Example: No Device X |
| Explain character 7 | Qualifier (provides additional information about treatment or procedure) Example: Diagnostic X |
| Guidelines: Body System are designated as________when located above or below the diaphragm. | upper and lower contain body part |
| Guidelines: The assigned code must be justified by....? | documentation in patient records |
| Guidelines: Valid codes must have______Characters. | 7 |
| Guidelines: Procedure codes should identify the specific body part unless...? | the procedure is performed on an anatomical region or when no other specific info is available |
| Guidelines: Multiple procedures completed during the same operative episode are assigned...? | separately |
| Guidelines: Discontinued procedures are coded...? | to the root operation that was actually performed |
| Guidelines: Biopsy followed by a more definitive treatment or procedure assign code for .. ? | both procedures |
| Explain Resection as root operation | cutting out, or off, without replacement, all of the body parts |
| Explain Excision as root operation | cutting out, or off, without replacement, of a body part |
| Guidelines: Inspection of a body part performed in order to achieve the objective of a procedure is coded...? | not separately (for multiple inspection sides code the most distal) |
| Guidelines: When the portion of a body part has no value code, list the code...? | that describes the whole body part |
| Guidelines: An external approach value is selected when...? | procedure is performed within a orifice (opening) on structures that are visible without the use of any instrument. |
| Guidelines: If An open approach is performed with the assistance of an percutaneous endoscope the value for______is selected | open approach |
| Guidelines: A Device Value is only selected if ...? | a device remains after the procedure is completed |
| Guidelines: Components of a procedure specified in the root operation are assigned...? | not separately |
| Explain Extirpation | Cutting out or off solid matter of a body part |
| Explain Detachment | Cutting off all or part of lower or upper extremities |
| Explain Bypass | Altering the route of a passage of the content to a tabular body part |
| Explain occlusion | completely closing an orifice (opening) or the lumen of a tubular body part |
| Explain transfer | Moving, without taking out, all or part of a body part to another location to take over the function of a body part |
| Explain Transplantation | Putting in or on all portions of a living body part, taken from another individual/animal to physically take the place/function of all or portion of a similar body part |
| Explain Creation | Making a new gentle structure that does not take over the function of a body part (used only for sex change) |
| Explain map | Locating the route of passages of electrical impulses and/or locating functional areas in a body part |
| Explain restriction | Partially closing a orifice or lumen of a tabular part |
Created by:
liajo