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2018 PCS Guidelines
2018 ICD-10-PCS Guidelines Update
| Term | Definition |
|---|---|
| How many codes does ICD-10-PCS 2017 contain? | 78,705 |
| Over 800 changes resulted in previously recognized operating room codes becoming what? | Nonoperating room codes |
| Where are the annual ICD-10-PCS coding updates posted? | On the Centers for Medicare and Medicaid Services website |
| Revisions included tables added to the _______________ section. | New Technology |
| Edits to the headings in tables located in the "_____________" and "_____________ or Systemic and Performance" sections | Medical and Surgical; Extracorporeal |
| Changes to root operation, approach, type qualifier, or device/substance/technology definitions were made to which sections? | Obstetrics, Administration, Physical Rehabilitation and Diagnostic Audiology, and New Technology |
| The "Medical and Surgical" and "Obstetrics" sections contained edits to... | Body part, approach, device, and qualifier values |
| True or False: Edits were made to the "Device Aggregation Table." | True |
| Additional endoscopic approaches were inserted into the "Medical and Surgical," "Obstetrics," "______________," and "Measurement and Monitoring" section tables | Administration |
| What letter was assigned to the "New Technology" section | X |
| New tables were added for operations performed on which body systems? | Muslces, tendons, bursae and ligaments, bones, joints, anatomical regions, and extracorporeal |
| K | Muscles, tendons, bursae and ligaments |
| N | Bones |
| R | Joints |
| W | Anatomical Regions |
| Y | Extracorporeal |
| The "Medical and Surgical" section, body system "Central Nervous System" was changed to what? | "Central Nervous System and Cranial Nerves" |
| What was the Centeral Nervous System changed to include Cranial Nerves? | ICD-10-PCS was designed to include procedures performed on cranial nerves |
| The "Extracorporal Assistance and Performance" section name was changed to ______________________ to include procedures performed for both systemic assistance and performance. | "Extracorporeal or Systemic Assistance and Performance" |
| Changes to root operation, approach, type qualifier, or device/substance/technology definitions were made to which sections? | Obstetrics, Administration, Physical Rehabilitation and Diagnostic Audiology, and New Technology |
| Definitions of which operations were edited to remove explanations in the "Obstetrics" section? | Change, drainage, extraction |
| What is the name of the new approach in the "Administration" section? | Percutaneous endoscopic |
| "Percutaneous Endoscopic" is defined as.... | The entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure." |
| Which two approaches were deleted from the "New Technology" section of the ICD-10-PCS values? | *Via natural or artificial opening *Via natural or artificial opening, endoscopic |
| Which two qualifiers were edited in the "Physical Rehabilitation and Diagnostic Audiology" section? | Neurophysiologic intraoperative and prosthesis |
| True or False: The Neurophysiologic intraoperative type was deleted from the type qualifiers. | True |
| True or False: The prosthesis type qualifier was deleted from ICD-10-PCS. | False: Examples were added to the prosthesis type qualifier to add clarity. |
| The "New Technology" section underwent changes to which values? | Operation, approach, and device/substance/technology |
| Which 3 operation values were deleted from the "New Technology" section? | Insertion, removal, and revision |
| How many new values were created for device/subtance/technology, categorized as New Technology 3? | 7 |
| What values were added to the insertion, removal, supplement, and revision operations tables for the peripheral nervous system? | Peripheral nerve body parts |
| The new Table added to the "Medical and Surgical" section | Table 01R (replacement operation) |
| _____________________ and related approaches, devices, and qualifiers were expanded in bypass operation table for the heart and great vessels body system. | Thoracic aorta body parts |
| What was added to the dilation operation table for the heart and greater vessels body system? | The ventricle, left body part |
| Added to the release operation table for the heart and greater vessels body system | Coronary artery body parts |
| The Obstetrics system divided the _____________ and ___________ into separate rows, and created vaules for related approaches, devices, and qualifiers. | Products of conception, retained; products of conception, ectopic |
| "Local Anesthetic" was changed to what, as the substance in the Introduction operation for the "Physiological Systems and Anatomical Regions body system in the Administration" section? | Anesthetic agent |
| The subcutaneous tissue body part and percutaneous approach for the introduction operation now contains a separate row to classify what substance? | Serum, Toxoid, and Vaccine |
| Allows coders to locate specific devices and determine its related operation, body system, and type of general device. | ICD-10-PCS Device Aggregation Table |
| True or False: ICD-10-PCS added two "specfic devices" to the device aggregation table for replacement operations on lower joints. | False: Just one "specific device" was added, that being 'synthetic substitute, such as oxidized zirconium on polyethylene.' |
| Endoscopic approaches were added to which section tables? | Medical and Surgical, Obstetrics, Administration, and Measurement and Monitoring |
| Considered a minimally invasive approach to examine body parts, such as the digestive tract. | Endoscopy |
| When an endoscope is inserted through skin to gain access to body parts, it is described as..... | Percutaneous endoscopy |
| ICD-10-PCS contains which new and revised coding guidelines? | B3.3, B3.7, B4.1c, and B6.1a |
| B3.3 | Root Operation: Discontinued or incomplete procedures |
| B3.7 | Root Operation: Conrol vs. more definitive root operations |
| B4.1c | Body Part: General guideline |
| B6.1a | Device: General guideline |
| B3.3 - Discontinued or incomplete procedure was revised to add _______________ and its description was also revised to add _______________ to the first sentence. | "Or incomplete"; "Or otherwise not completed" |
| The description of coding B3.7 was revised to clarify instructions on what? | Coding operations to stop postprocedural or other acute bleeding |
| True or False: When more definitive root operations than "control" methods are documented, codes for the more definitive root operation are assigned instead of the less invasive "control" procedure. | True: Coding Guideline B3.7 - Control vs. more definitive root operations endorses this statement in instances which require a more definitive root operation such as Bypass, Detachment, Excision, Extraction, Reposition, Replacement, or Resection. |
| What do the first 3 parts of an ICD-10-PCS code consist of? | *Section * Body System *Operation |
| The last 4 parts of an ICD-10-PCS code consist of? | *Body Part *Approach *Device *Qualifier |
Created by:
jr84
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