Medical and Surgical Related and Other Sections Part 1

Codes Discussed: ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System), ICD-10-CM (referenced through ICD-10 course context), Medical and Surgical section, Obstetrics section value 1, Placement section value 2, Administration section value 3, Measurement and Monitoring section value 4, Extracorporeal or Systemic Assistance and Performance section value 5, Extracorporeal or Systemic Therapies section value 6, Products of Conception body part value 0, Products of Conception Retained body part value 1, Products of Conception Ectopic body part value 2, Delivery root operation, Abortion root operation, Extraction root operation, Resection root operation, Immobilization root operation, Reposition root operation, Insertion root operation, Change root operation, Removal root operation, Transfusion root operation, Irrigation root operation, Introduction root operation, Measurement root operation, Monitoring root operation, Assistance root operation, Performance root operation, Restoration root operation, Ultraviolet Light Therapy root operation, Decompression root operation, Qualifier 0 (Classical/high cesarean incision), Qualifier 1 (Low/Pfannenstiel cesarean incision), Qualifier 2 (Extraperitoneal cesarean incision), Qualifier 3 (Low forceps), Qualifier 7 (Internal version), Qualifier Z (No qualifier), Approach X (External), Approach 0 (Open), Approach 7 (Via Natural or Artificial Opening), 10E0XZZ (Normal spontaneous vaginal delivery/Delivery of products of conception, external approach, no device, no qualifier), 10D00Z1 (Open extraction of products of conception, low cesarean/Pfannenstiel incision), 10D07Z1 (Incorrect answer choice for cesarean because procedure was not via natural or artificial opening), 10D17Z9 (Incorrect answer choice because procedure was not performed on retained products of conception), 10D20ZZ (Incorrect answer choice for ectopic products of conception extraction), 10T20ZZ (Open resection of ectopic products of conception/interstitial pregnancy removal), 10T24ZZ (Incorrect answer choice because ectopic pregnancy procedure was not laparoscopic), 1A0 table (Obstetrics Abortion table referenced for vaginal abortion qualifier methods), 10D table (Obstetrics Extraction table referenced for delivery instrumentation and cesarean incision qualifiers), 2W3CX2Z (Immobilization of lower right arm with cast for nondisplaced right radius fracture), 0PSHXZZ (Incorrect answer choice for nondisplaced right radius fracture because nondisplaced fractures are not coded to Reposition), 2W3AX2Z (Incorrect answer choice because radius is lower arm, not upper arm), F0DZ9FZ (Incorrect answer choice because casting of nondisplaced fracture is not Device Fitting), 302 table (Administration Transfusion table), 3C1 table (Irrigation of indwelling devices), 3E1 table (Irrigation of anatomical regions), 3E0 table (Introduction of substances), 3E0430M (Introduction of antineoplastic monoclonal antibody via central venous port for malignant neoplasm), 3E043GR (Incorrect answer choice because therapy is not identified as antineoplastic), 3E043GC (Incorrect answer choice because therapy is not identified as antineoplastic), 4A0 table (Measurement table for cardiac catheterization), Function value N (Sampling and Pressure for cardiac catheterization), Body system value 2 (Cardiac for catheterization), 4A10X4G (Intraoperative neuromonitoring/electrical activity monitoring during surgery), 4A10X2Z (Incorrect answer choice because procedure monitored electrical activity), 4A10X4Z (Incorrect answer choice because monitoring was performed during surgery), Function value 4 (Electrical Activity), Function value 2 (Conductivity, incorrect neuromonitoring answer choice), Function value B (Pressure, incorrect neuromonitoring answer choice), 5A1 table (Extracorporeal or Systemic Assistance and Performance table for ECMO/hemodialysis/performance procedures), 5A0945A (High flow nasal cannula oxygen therapy for 36 hours), 5A09457 (Incorrect answer choice for high flow nasal cannula oxygen therapy), 5A0945Z (Incorrect answer choice for high flow nasal cannula oxygen therapy), Body system/region value 9 (Respiratory for high flow nasal cannula), Body system/region value 5 (Circulatory, incorrect high flow nasal cannula answer choice), Body system/region value 3 (Arterial, incorrect high flow nasal cannula answer choice), Duration value 3 (Less than 24 consecutive hours), Duration value 4 (24-96 consecutive hours), Duration value 5 (Greater than 96 consecutive hours), Function/device value A (High flow nasal cannula oxygen therapy context), 5A1D70Z (Intermittent hemodialysis through existing AV graft), 5A1D80Z (Incorrect answer choice because patient had intermittent hemodialysis), 5A1D90Z (Incorrect answer choice because patient had intermittent hemodialysis), 5A1522F (Central ECMO delivered to critically ill ICU patient), 5A15A2F (Incorrect answer choice because ECMO was not intraoperative), 5A0522C (Incorrect answer choice because root operation was not correct for ECMO), 5A19054 (Incorrect answer choice because procedure was ECMO, not mechanical ventilation), Cardiopulmonary bypass/CPB, ECMO (Extracorporeal membrane oxygenation), VA ECMO, VV ECMO, EKG/ECG, Holter monitor/ambulatory EKG, polysomnography/sleep study, BiPAP, CPAP, mechanical ventilation, intra-aortic balloon pump, high flow nasal cannula, external cardioversion, defibrillation, chemical cardioversion, antiarrhythmic substance, hemodialysis, AV graft, monoclonal antibody, antineoplastic substance, lidocaine (Anesthetic), penicillin (Anti-infective), steroid (Anti-inflammatory), normal saline (Electrolytic and water balance substance), G-tube formula (Nutritional substance), liquid nitrogen (Destructive agent), vaccines, thrombolytics, stem cells, bone marrow, whole blood, blood components, clotting factors, central venous port, Pfannenstiel incision, low forceps, high forceps, mid forceps, vacuum extraction, internal version, cesarean section/C-section, NSVD (Normal spontaneous vaginal delivery), POC (Products of conception), RPOC (Retained products of conception)

Topics Covered: ICD-10-PCS MedSurg Other Part 1, procedures other than Medical and Surgical, non-Medical/Surgical PCS sections, PCS sections used with Medical/Surgical codes, PCS sections used instead of Medical/Surgical codes, unique PCS character definitions, non-surgical PCS procedure coding, Obstetrics PCS coding, Placement PCS coding, Administration PCS coding, Measurement and Monitoring PCS coding, Extracorporeal Assistance and Performance coding, Extracorporeal Therapies coding, products of conception definition, POC coding, fetus, placenta, amniotic sac, amniotic fluid, umbilical cord, retained products of conception, RPOC coding, ectopic products of conception, ectopic pregnancy coding, abnormal pregnancy location, interstitial pregnancy, tubal pregnancy, abdominal cavity pregnancy, ampulla pregnancy, fimbrial end pregnancy, procedures on products of conception, procedures on pregnant female, episiotomy Medical/Surgical coding, episiorrhaphy Medical/Surgical coding, Obstetrics root operations, Delivery versus Extraction, Delivery root operation, normal spontaneous vaginal delivery, genital canal delivery, delivery without instrumentation, delivery without incision, Abortion root operation, artificial termination of pregnancy, incomplete abortion treatment distinction, retained products removal, vaginal abortion method qualifiers, Extraction in Obstetrics, cesarean delivery coding, cesarean section coding, C-section coding, instrumentation-assisted delivery, incision-assisted delivery, obstetric extraction qualifiers, vaginal delivery with forceps, low forceps delivery, mid forceps delivery, high forceps delivery, vacuum extraction delivery, internal version delivery, gloved hand fetal turning, cephalic position assistance, Cesarean incision qualifier selection, high cesarean incision, classical cesarean incision, low cesarean incision, low transverse cervical incision, Pfannenstiel incision, extraperitoneal cesarean incision, paravesical approach, multiple gestation delivery coding, twin delivery coding, multiple delivery code assignment, same method delivery coding, different root operation delivery coding, different approach delivery coding, different qualifier delivery coding, vaginal delivery after episiotomy, placenta manual removal, uterine cavity exploration, products of conception not retained, ectopic pregnancy removal with Bovie, pathology specimen, no residual ectopic pregnancy, Placement section coding, Placement body region character, external device placement, devices placed outside body, devices placed into orifice, packing material placement, dressing placement, cast placement, splint placement, brace placement, traction apparatus placement, anatomical regions in Placement, anatomical orifices in Placement, chest wall, inguinal region, upper extremity region, lower extremity region, mouth and pharynx, nasal orifice, ear, anorectal orifice, female genital tract, urethra, Placement root operations, Change in Placement, Removal in Placement, non-incisional procedures, non-puncture procedures, Immobilization coding, cast coding, splint coding, brace coding, nondisplaced fracture coding, displaced fracture coding, fracture reduction coding, Reposition versus Immobilization, fracture hardware coding, fracture treatment decision tree, sprain immobilization, right radius nondisplaced fracture, short arm cast, lower right arm cast, Administration section coding, Administration body system or region character, substance character, Transfusion coding, blood and blood product administration, stem cell transfusion, bone marrow transfusion, whole blood transfusion, blood component transfusion, clotting factor transfusion, Irrigation coding, cleansing substance administration, indwelling device irrigation, anatomical region irrigation, pleural cavity irrigation, Introduction coding, therapeutic substance administration, diagnostic substance administration, nutritional substance administration, physiological substance administration, prophylactic substance administration, substance versus device distinction, substances cannot be removed, substances absorbed into body, substances mixed with tissue or fluids, generic substance names, dose not classified in PCS, vaccines, thrombolytics, central vein administration, peripheral vein administration, products of conception administration, circulatory system administration, body region administration, muscles administration, eye administration, female reproductive system administration, peripheral nerve administration, substance value matching, anesthetic substance, anti-infective substance, anti-inflammatory substance, electrolytic and water balance substance, nutritional substance, destructive agent, monoclonal antibody administration, antineoplastic therapy coding, malignant neoplasm treatment coding, central venous port administration, Measurement and Monitoring section coding, body system character definitions, function/device character, Measurement root operation, single point in time testing, physiologic function measurement, physical function measurement, EKG measurement, pacemaker check, visual acuity testing, gastrointestinal motility study, cardiac catheterization coding, heart catheterization as Measurement, catheterization approach to heart, sampling and pressure measurement, heart chamber blood pressure documentation, left heart catheterization, coronary angiogram, left ventricle pressures, bilateral heart catheterization, Monitoring root operation, repetitive measurement over time, Holter monitor, ambulatory EKG, intraoperative monitoring, neuromonitoring, sleep study, polysomnography, electrical activity monitoring, surgical neuromonitoring, Measurement versus Monitoring, extracorporeal procedure coding, systemic assistance and performance, systemic therapies, procedures performed outside the body, physiological systems body system, duration character, function character, mechanical ventilation coding, respiratory assistance duration, ventilation less than 24 hours, ventilation 24 to 96 hours, ventilation greater than 96 hours, mechanical ventilation reimbursement impact, documented ventilation time, Assistance root operation, partial takeover of physiological function, body function support, incomplete independent function, intra-aortic balloon pump, high flow nasal cannula, BiPAP, CPAP, intubated prone positioning, heated humidified high velocity airflow, respiratory failure oxygen therapy, Performance root operation, complete takeover of physiological function, mechanical ventilation performance, cardiac pacing, cardiopulmonary bypass, hemodialysis performance, extracorporeal membrane oxygenation, ECMO performance, cardiopulmonary bypass coding, CPB integral procedures, open-heart surgery coding, venous blood diversion, external heart-lung machine, oxygen added to blood, carbon dioxide removed from blood, shunts integral to CPB, cold cardioplegia integral to CPB, temporary pacing wires integral to CPB, endotracheal tube not integral to CPB, imaging not integral to CPB, on-pump documentation, ECMO coding, organ oxygenation support, external oxygenator, ECMO cannulas, central ECMO, thoracotomy cannulation, inferior vena cava cannulation, ascending aorta cannulation, peripheral ECMO, femoral vein cannulation, VA ECMO respiratory and cardiac support, VV ECMO respiratory support, ECMO qualifier selection, hemodialysis coding, kidney function replacement, intermittent hemodialysis, existing AV graft, Restoration root operation, restoring physiological function, external cardioversion coding, defibrillation coding, failed cardioversion coding, chemical cardioversion Administration coding, antiarrhythmic substance introduction, extracorporeal therapies coding, therapeutic extracorporeal procedures, ultraviolet light therapy, bililite treatment of infant hyperbilirubinemia, decompression therapy, hyperbaric treatment for decompression sickness, hyperbaric wound therapy, shock wave therapy to musculoskeletal system, plasmapheresis, Code Purple practice, Code Red ultimate challenge, cesarean section case coding, Pfannenstiel incision case, ectopic pregnancy resection case, monoclonal antibody coding case, high flow nasal cannula case, left heart catheterization case, intraoperative neuromonitoring case, balloon pump root operation, BiPAP root operation, cardioversion root operation, bypass root operation, ECMO root operation, CPAP root operation, mechanical ventilator root operation, intermittent hemodialysis case, central ECMO ICU case, ICD-10-PCS inpatient procedure coding education, medical coding course content