18 ICD-10-PCS Medical Surgical ApproachesPercutaneous Endoscopic (4)
19 ICD-10-PCS Medical Surgical ApproachesVia Natural or artificial opening endoscopic
20 ICD -10 PCS Medical surgical DevicesBiological or synthetic material that takes the place of all or a portion of a body part (e.g. skin graft)Biological or synthetic material that assists or prevents a physiological function (e.g. urinary catheter, IUD)Therapeutic material that is not absorbed by, eliminated by, or incorporated into a body part (e.g. radioactive implant) Therapeutic materials that are considered devices can be removed.Mechanical or electronic appliances used to assist, monitor, take the place of, or prevent a physiological function (e.g. diaphragmatic pacemaker, orthopedic pins)
22 ICD-10-PCS Case studies3.9Procedure Performed: Subtotal gastrectomy with Billroth II anastomosis0DB60ZZ Excision, Stomach Gastrectomy, Partial0D160ZA – Bypass, Stomach0DHA0UZ – Insertion of device in, jejunum
23 ICD-10-PCS Case studies3.13Procedure Performed: Left initial inguinal hernia repair with mesh0YU60JZ – Supplement, inguinal region left, herniorrhaphy with sythetic substitute
24 ICD-10-PCS Case studies3.38Procedure Performed: Exploratory laparotomy, sigmoid colectomy, extended right hemicolectomy, colostomy.CODE ONLY PCS codes0DTN0ZZ – Resection, Colon, Sigmoid0DTF0ZZ – Resection, Intestine, Large Right Hemicolectomy0DBL0ZZ – Excision, Colon, Transverse0D1M0Z4 – Bypass, Colon Descending Colostomy
25 ICD-10-PCS - Obstetrics Root Operations (2 added) Abortion (A) Delivery (E)Body PartsProducts of ConceptionProducts of Conception, retainedProducts of Conception, ectopic
27 ICD-10 PCS - Administration Body SystemsCirculatory systemIndwelling DevicePhysiological Systems and Anatomical RegionsRoot operationsIntroductionIrrigationTransfusion
28 Icd-10 PCS – Measurement & Monitoring Measurement – Determining the level of a physiological or physical function at a point in time.Monitoring – Determining the level of physiological or physical function repetitively over a period of time.
29 ICD-10 PCS – Extracorpeal Extracorpeal Assistance and PerformanceRoot OperationsAssistancePerformanceRestoration
31 ICD-10 PCS Osteopathic, other & Chiropractic Osteopathic SectionRoot Operation – TreatmentOther Procedures SectionRoot Operation – Other proceduresChiropracticRoot Operation - ManipulationOsteopathicOther ProceduresChiropractic – Approach is always external……
32 Icd-10 Ancillary section Imaging (B)Nuclear Medicine (C)Radiation Oncology (D)Physical Rehabilitation and Diagnostic Audiology (F)Mental Health (G)Substance Abuse Treatment (H)We are at the end finally!Imaging – Chest xrays AP/PA and lateral viewsNuclear Med – PET ScansRadiation Oncology – Electron radiationPhysical Rehab and Diagnostic Audiology – Wound care treatment, Brace fittingsMental Health – Crisis interventions, psychotherapySubstance Abuse – Drug Addiction, Just like it sounds
33 ICD-10-PCS Case studies3.41Procedure Performed: Transvaginal abortion using vacuum aspiration technique.10A07Z6 – Abortion, VacuumIf you have your book turn to page 194.I will give you a couple mins to read and answer the case.
34 ICD-10-PCS Case studies3.43Procedure Performed: Fetal spinal tap, percutaneous10903ZA – Drainage, Products of Conception, Fetal cerebrospinal fluid
35 ICD-10-PCS Case studies3.79Procedure Performed: Alcohol detoxification treatmentHZ2ZZZZ – Dextoxification Services for substance abuse
36 REferencesICD-10-PCS Coder Training Manual, 2013 Edition (AHIMA Press)ICD-10-PCS Official Guidelines for Coding and Reporting