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Jennifer McElroy, CPC AHIMA Approved ICD-10 CM/PCS Trainer ICD-10 PCS CODING 101.

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Presentation on theme: "Jennifer McElroy, CPC AHIMA Approved ICD-10 CM/PCS Trainer ICD-10 PCS CODING 101."— Presentation transcript:

1 Jennifer McElroy, CPC AHIMA Approved ICD-10 CM/PCS Trainer ICD-10 PCS CODING 101

2 AGENDA ICD -10 PCS Guidelines & Conventions Medical Surgical Body Part vs Body System Root Operations Approaches Device Qualifiers Case Studies The Gray Section Case Studies

3 ICD-10-PCS OVERVIEW Conventions & Guidelines ICD-10-PCS Codes are 7 characters The letters I and O are excluded Built in room for growth Alpha index Characters Characters 4 – 7

4 ICD-10-PCS Body Part Vs. Body System VS Mouth & Throat Frenulum linguae

5 ICD-10-PCS Body Part Vs. Body System VS Aortic Arch Heart and Great Vessels

6 ICD-10-PCS Body Part Vs. Body System VS Gastrointestinal Sigmoid Colon

7 ICD-10-PCS MEDICAL SURGICAL Root Operations Medical and Surgical Section Root Operations AlterationDivisionInspectionReposition BypassDrainageMapResection ChangeExcisionOcclusionRestriction ControlExtirpationReattachmentRevision CreationExtractionReleaseSupplement DestructionFragmentationRemovalTransfer DetachmentFusionRepairTransplantation DilationInsertionReplacement

8 ICD-10-PCS MEDICAL SURGICAL Root operations Extraction (D)

9 ICD-10-PCS MEDICAL SURGICAL Root operations Detachment (6)

10 ICD-10-PCS MEDICAL SURGICAL Root operations Transfer (X)

11 ICD-10-PCS MEDICAL SURGICAL Root operations Alteration (0)

12 ICD-10-PCS MEDICAL SURGICAL Approaches Open (0) Percutaneous (3) Percutaneous Endoscopic (4) Via Natural or Artificial Opening (7) Via Natural or Artificial Opening Endoscopic (8) Via Natural or Artificial Opening with Percutaneous Endoscopic Assist (F) External (X)

13 ICD-10-PCS MEDICAL SURGICAL Approaches Via Natural or Artificial Opening (7)

14 ICD-10-PCS MEDICAL SURGICAL Approaches Via Natural or Artificial opening with percutaneous Endoscopic Assistance (F)

15 ICD-10-PCS MEDICAL SURGICAL Approaches Percutaneous (3)

16 ICD-10-PCS MEDICAL SURGICAL Approaches External (X)

17 ICD-10-PCS MEDICAL SURGICAL Approaches Open (0)

18 ICD-10-PCS MEDICAL SURGICAL Approaches Percutaneous Endoscopic (4)

19 ICD-10-PCS MEDICAL SURGICAL Approaches Via Natural or artificial opening endoscopic

20 ICD -10 PCS MEDICAL SURGICAL Devices Biological 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)

21 ICD -10 PCS MEDICAL SURGICAL Qualifier Allogeneic (0) Syngeneic (1) Zooplastic (2) Diagnostic (X)

22 ICD-10-PCS CASE STUDIES 3.9 Procedure Performed: Subtotal gastrectomy with Billroth II anastomosis 0DB60ZZ Excision, Stomach Gastrectomy, Partial 0D160ZA – Bypass, Stomach 0DHA0UZ – Insertion of device in, jejunum

23 ICD-10-PCS CASE STUDIES 3.13 Procedure Performed: Left initial inguinal hernia repair with mesh 0YU60JZ – Supplement, inguinal region left, herniorrhaphy with sythetic substitute

24 ICD-10-PCS CASE STUDIES 3.38 Procedure Performed: Exploratory laparotomy, sigmoid colectomy, extended right hemicolectomy, colostomy. CODE ONLY PCS codes 0DTN0ZZ – Resection, Colon, Sigmoid 0DTF0ZZ – Resection, Intestine, Large Right Hemicolectomy 0DBL0ZZ – Excision, Colon, Transverse 0D1M0Z4 – Bypass, Colon Descending Colostomy

25 ICD-10-PCS - OBSTETRICS Root Operations (2 added) Abortion (A) Delivery (E) Body Parts Products of Conception Products of Conception, retained Products of Conception, ectopic

26 ICD-10 PCS - PLACEMENT Root Operations Compression (1) Dressing (2) Immobilization (3) Packing (4) Traction(6)

27 ICD-10 PCS - ADMINISTRATION Body Systems Circulatory system Indwelling Device Physiological Systems and Anatomical Regions Root operations Introduction Irrigation Transfusion

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 Performance Root Operations Assistance Performance Restoration

30 ICD-10 PCS – EXTRACORPEAL Extracorpeal Therapies Root Operations Atmospheric Control Decompression Electromagnetic Therapy Hyperthermia Hypothermia Pheresis Ultrsound Therapy Ultraviolet Light Therapy Shock wave Therapy

31 ICD-10 PCS OSTEOPATHIC, OTHER & CHIROPRACTIC Osteopathic Section Root Operation – Treatment Other Procedures Section Root Operation – Other procedures Chiropractic Root Operation - Manipulation

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)

33 ICD-10-PCS CASE STUDIES 3.41 Procedure Performed: Transvaginal abortion using vacuum aspiration technique. 10A07Z6 – Abortion, Vacuum

34 ICD-10-PCS CASE STUDIES 3.43 Procedure Performed: Fetal spinal tap, percutaneous 10903ZA – Drainage, Products of Conception, Fetal cerebrospinal fluid

35 ICD-10-PCS CASE STUDIES 3.79 Procedure Performed: Alcohol detoxification treatment HZ2ZZZZ – Dextoxification Services for substance abuse

36 REFERENCES ICD-10-PCS Coder Training Manual, 2013 Edition (AHIMA Press) ICD-10-PCS Official Guidelines for Coding and Reporting


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