Introduction to ICD-10-PCS

Codes Discussed: ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System), ICD-10-CM (diagnosis reporting system referenced in contrast to PCS procedure reporting), ICD-9-CM Volume 3 (legacy inpatient procedure code set replaced by ICD-10-PCS), CPT/HCPCS (procedure code sets used for physician/professional services, hospital outpatient departments, and other outpatient services), 0B1 (Medical/Surgical, Respiratory System, Bypass PCS table used to build a tracheostomy code), 0 (Medical/Surgical section value), B (Respiratory System body system value), 1 (Bypass root operation value), 001 (Medical/Surgical, Central Nervous System and Cranial Nerves, Bypass PCS table), 0FT4 (first four PCS characters for laparoscopic resection of gallbladder/cholecystectomy), 0FT44ZZ (Laparoscopic cholecystectomy/resection of gallbladder, percutaneous endoscopic approach, no device, no qualifier), 027 (Heart and Great Vessels, Dilation PCS table), 0DBK (first four PCS characters for excision of ascending colon, such as polyp excision during colonoscopy), 0B5 (Respiratory System PCS table referenced for body part example), 08Q (Repair, Eye PCS table reference from Canthorrhaphy index guidance), 0WB (Medical/Surgical, General Anatomical Region, Excision PCS table), 0MXT (first four PCS characters for transfer of subtalar ligament, left), 0M9 (Bursa and Ligament Drainage PCS table), 0M9P (first four PCS characters for drainage of left knee bursa and ligament), 0M9P3ZX (Percutaneous needle aspiration/drainage of fluid from left knee bursa for diagnostic cytology), 005Y (first four PCS characters for laser interstitial thermal therapy of lumbar spinal cord), 005W (incorrect answer choice for cervical spinal cord region), 0QB3 (first four PCS characters for open excision of a piece of bone from left iliac crest/pelvic bone left), 0QB30ZZ (Open excision of left pelvic bone/left iliac crest bone graft, no device, no qualifier), Guideline A9 (PCS table guideline requiring valid character combinations from the same table row), LITT (Laser interstitial thermal therapy index entry), CONTAK RENEWAL 3 RF (HE) CRT-D (device classification example), Colonic Z-Stent® (classified as an intraluminal device), Ilizarov-Vecklich device (classified as external fixation device, limb lengthening), Root Operation Bypass, Root Operation Dilation, Root Operation Drainage, Root Operation Irrigation, Root Operation Repair, Root Operation Excision, Root Operation Resection, Root Operation Extirpation, Root Operation Transfer, Root Operation Destruction, Root Operation Extraction, Root Operation Removal, Root Operation Delivery, Device value Z (No device), Qualifier value Z (No qualifier), Qualifier value X (Diagnostic), Approach value 0 (Open), Approach value 3 (Percutaneous), Approach value 4 (Percutaneous endoscopic)

Topics Covered: ICD-10-PCS introduction, ICD-10-PCS coding basics, inpatient procedure coding, hospital inpatient facility reporting, ICD-10-PCS development, HIPAA Administrative Simplification Act, ICD-10-PCS implementation, ICD-10-PCS annual updates, new procedures and technologies, procedure classification systems, difference between ICD-10-PCS and ICD-10-CM, difference between PCS and CPT/HCPCS, hospital inpatient coding, hospital outpatient CPT/HCPCS reporting, physician professional service coding, PCS code set applicability, coded healthcare data uses, coded data for reimbursement, coded data for research, registry reporting, quality reporting, population health management, non-reimbursement PCS data collection, investigative therapy tracking, postpartum hemorrhage transfusion tracking, contrast material tracking, ICD-10-PCS code format, ICD-10-PCS organization, PCS book layout, PCS electronic files, CMS PCS files, Alphabetic Index, PCS Tables, Official Coding Guidelines, PCS code structure, seven-character PCS codes, character values, code building process, Medical/Surgical section, Obstetric section, Medical-Surgical Related Procedure sections, Placement section, Administration section, section character, body system character, root operation character, body part character, approach character, device character, qualifier character, 17 PCS sections, Measurement and Monitoring section, Chiropractic section, Radiation Oncology section, Medical/Surgical section value 0, body system selection, gastrointestinal system body system, hepatobiliary system and pancreas, cardiovascular body system subdivisions, heart and great vessels body system, root operation definition, 31 Medical/Surgical root operations, root operation intent, provider documentation and root operation selection, coder responsibility for root operation assignment, body part values, body system versus body part, pancreas as hepatobiliary and pancreas body part, ascending colon body part, laterality in body part selection, open approach, percutaneous approach, percutaneous endoscopic approach, via natural or artificial opening approach, via natural or artificial opening endoscopic approach, via natural or artificial opening with percutaneous endoscopic assistance, external approach, approach definitions through skin, approach definitions through orifice, external approach definition, laparoscopic procedure coding, arthroscopic procedure coding, needle biopsy approach, cholecystectomy approach comparison, laparoscopic cholecystectomy, open cholecystectomy, aborted laparoscopic procedure converted to open procedure, tracheostomy opening as artificial opening, procedure through mouth, procedure through nose, procedure through anus, procedure through urethra, lap-assisted vaginal hysterectomy approach, tonsillectomy external approach concept, approach decision guide, thoracoscopy approach example, pericardial aspiration with needle, arthroscopic meniscectomy, thyroidectomy, laryngoscopy, device character definition, devices remaining after procedure, sutures not coded as devices, temporary postoperative drains not coded as devices, synthetic substitute, monitoring device, drainage device, feeding device, intraluminal device, extraluminal device, coronary artery stent, aneurysm clip, internal fixation device, external fixation device, tissue device values, qualifier character definition, qualifier as extra information, transfer qualifier showing new location, transplanted organ origin qualifier, allogeneic qualifier, syngeneic qualifier, zooplastic qualifier, Z as default no applicable value, PCS coding workflow, reviewing documentation, searching Alphabetic Index by root operation, following index guidance, obtaining characters from the index, completing codes in PCS tables, not coding directly from the Index, verifying index codes in tables, index guidance examples, Cannulation index choices, Bypass versus Dilation versus Drainage versus Irrigation, Canthorrhaphy index guidance, Capitate bone body part guidance, Cardia body part guidance, Extracorporeal shock wave lithotripsy index lookup, device classification lookup, PCS table format, table-driven coding decisions, same-row PCS coding rule, valid PCS code combinations, abdominal wall excision example, external versus open versus percutaneous versus percutaneous endoscopic table rows, stoma excision example, Code Purple practice questions, Code Red ultimate challenge, coronary artery bypass inpatient procedure, hospital outpatient hernia repair CPT distinction, skilled nursing facility bedside debridement CPT distinction, body part identification in respiratory system, carina as respiratory body part, gasserian ganglion index guidance, trigeminal nerve classification, adrenalotomy root operation guidance, subtalar ligament transfer coding, bursa versus joint body system distinction, left knee bursa aspiration coding, diagnostic cytology qualifier, left auricular appendix body part guidance, atrium left classification, laser interstitial thermal therapy coding, hemimaxillectomy index guidance, fulguration as destruction, cesarean section as extraction of products of conception, pancreatic plexus classification, Ilizarov-Vecklich device classification, iliac crest classification as left pelvic bone, bone graft harvest coding, open excision of pelvic bone, PCS table verification, encoder use in ICD-10-PCS learning, book-based encoder workflow, logic-based encoder caution, understanding Index and Tables, PCS approach flashcards, ICD-10-PCS code building education, inpatient procedure coding education, medical coding course content