ICD-10-PCS Training Samantha Muncy - PowerPoint Presentation

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ICD-10-PCS Training

Samantha Muncy

What is the ICD-10-PCS coding system.

ICD-10-PCS stands for The International Classification System of Diseases, The 10

th

revision, Procedural Coding System.

ICD-10-PCS was developed to replace ICD-10-CM Volume 3 procedure codes.

Devised by the World Health Organization and The Centers for Medicaid and Medicare Services .Codes do not contain any diagnostic information .NOS commands are restricted, and NEC commands are limited but availability does exist.

The Seven Code Characters

All codes have 7 characters and every character is specific to its place in the lineup each with its own specific meaning or value.

Characters may be alphabetic or numeric.

Every number 0-9 can be used, and any letter A-H, J-N, or P-Z may be used except for O and I, as they resemble the numbers 0 and 1.

The first character of every code designates its section in the code book which is separated by common types of procedures into 16 sections.

The 16 sections are divided into 3 main subsections : Medical and Surgical, Medical and Surgical Related, and Axillary. (Universal Class, 2018).OJ

H

T

3

VZ

Steps to Coding a Procedural Code

Locate the main term used in the medical report with the main term being the main procedure that was used to treat the diagnosis.

Could be root operations or other common procedures performed.

Use the main term to look up what table to use in the alphabetic index.

Continue to build the code with the appropriate table

. (Bowie, 2018, pg. 465).

Building Codes with Tables.

First reference the alphabetical index as a guide to help you locate the table that will be used to formulate the correct code.

Use the main terms as what you use to locate term in the procedure that will be used to locate the correct table.

Main terms are either the root operation or other common procedures performed.

Index lists the main terms in alphabetical order and usually supplies the first 3 characters of the code, to allow you to locate the correct table.

Then reference the table to continue and finish the code, and there is a required set number of 7 characters in any code.Some tables will have various rows listed within in, only can select one row and the characters should be selected by going straight across all given sections of the table. (Universal Class, 2018).

Example of How to Build a ICD-10-PCS Code using the Tables

Procedure

: Insertion of Infusion Pump into the trunk subcutaneous tissue and fascia, percutaneous approach.

Locate the main procedure and locate it

within the index by main term to find the correct 3 letters that correspond with the table used to build or select the correct code. ( OJH)

Locate the table, Build the remaining 4 characters of the code from the table by the specific meaning or value for each place. (Bowie, 2018, pg. 265).1st character value- section 0 -Medical and Surgical2nd

character value-body systems

J- Subcutaneous Tissue and Fascia

3

rd character value-root operation H -Insertion4th character value-body part.

When using the table you locate the row that signifies the trunk as the body part, then you choose 0 or 3 for the approach from the next column

T-Subcutaneous Tissue and Fascia, Trunk

5

th

character value-approach

Choose from 0-percutaneous or 3 for open

3 -Percutaneous

6

th

character value-devices Choose either I for radioactive element, 3 for infusion device, V for infusion device, pump, or Y for other devices. V – Infusion Device , Pump7th character value-the qualifier , if any Z –No Qualifier

0JHT3VZ

References

Universal Class. (2018). What is ICD-10_PCS?. Retrieved from:

https://www.universalclass.com/articles/medicine/medical-coding/what-is-icd-10-pcs.htm

Bowie, Mary J. (2018). Introduction to ICD-10-PCS. Understanding ICD-10-CM and ICD-10-PCS, A worktext. Boston, MA. : Cengage Learning