Show:
Root Operations
Body System
Device
PCS Characters
ICD-10 PCS Potluck
100
Breast Lumpectomy
What is an Excision?
100
A procedure site identified as perirenal is coded to the what body part
What is the Kidney?
100
Procedures performed via indwelling device are coded to which approach
What is a Percutaneous Approach? Example: Fragmentation of kidney stone performed by percutaneous nephrostomy to Percutaneous (approach value 3)
100
Number of Characters in a PCS code
What are 7 characters?
100
Procedure code Talc injection pleurodesis, left side
What is 0B5P3ZZ? ADMINISTRATION for applicable injection code
200
Fulguration of endometrium
What is Destruction?
200
A procedure performed on the alveolar process of the mandible is coded to what body part.
What is the mandible body part? Rationale:If a procedure is performed on a portion of a body part that does not have a separate body part value, code the body part value corresponding to the whole body part.
200
What device value code is used if no device remains after the procedure is completed.
What is device value "No"? If no device remains, the device value No Device is coded
200
Give the meaning of the characters in the Obstetrics, Medical & Surgical Section. Character: 1 2 3 4 5 6 7
What is Section for character 1? What is Body System for character 2? What is Root Operation for character 3? What is Body Part for character 4? What is Approach for character 5? What is Device for Character 6? What is Qualifier for Character 7?
200
Name and define two Root Operations that take out solids/fluids/gases from a body part
What are Drainage, Extirpation and Fragmentation? Drainage-Taking/letting out fluids/gases within a body part, for example :Incision and drainage Extirpation-Taking/cutting out solid matter within a body part, for example: Thrombectomy Fragmentation :Breaking solid matter into pieces within a body part , for example Lithotripsy
300
Diagnostic cystoscopy
What is an Inspection?
300
These body part values are available for a limited number of body parts. They are included in the system on the basis of frequency and common practice.
What are bilateral identical procedures? For Example:The identical procedure performed on both fallopian tubes is coded once using the body part value Fallopian Tube, Bilateral. The identical procedure performed on both knee joints is coded twice using the body part values Knee Joint, Right and Knee Joint, Left
300
If, as part of a procedure, an autograft is obtained from a different body part, a separate procedure is not coded. True or False
What is False? Example:Coronary bypass with excision of saphenous vein graft, excision of saphenous vein is coded separately.
300
Medical and Surgical Section all have a first character value
What is 0 ?(zero)
300
Code Percutaneous drainage of ascites
What is 0W9G3ZZ ? This is drainage of the cavity and not the peritoneal membrane itself.
400
Bone Marrow and Endometrial Biopsies
What is Extraction?
400
Laparoscopic-assisted sigmoidectomy is coded to what approach
What is an Open approach? Rationale:Procedures performed using the open approach with percutaneous endoscopic assistance are coded to approach value "O" for Open.
400
Materials such as sutures, ligatures, radiological markers and temporary post-operative wound drains are not considered integral to the performance of a procedure and are coded as devices. True or False
What is False? Answer:Materials such as sutures, ligatures, radiological markers and temporary post-operative wound drains are considered integral to the performance of a procedure and are not coded as devices.
400
Name the two sections in which ICD-10 PCS is divided into. How many subsections are in each of these sections. Name two subsections for each section
What are Medical and Surgical Related Sections (11 subsections) & Ancillary Sections (5 subsections) ? See page 4 of PCS books for list of subsections
400
Code Bilateral TRAM pedicle flap reconstruction status post mastectomy, muscle only, open
What is 0KXK0ZZ, 0KXL0ZZ The transverse rectus abdominus muscle (TRAM) flap is coded for each flap developed
500
1. Root Operation for Adhesiolysis 2. Give an examples of an ICD-10 PCS Eponyms 3. Pulling out or off without replacement some or all of a body part
1.What is Release? 2. What is there are no Eponyms in ICD-10? 3. What is Extraction? (Suction D& C)
500
In body systems containing skin, subcutaneous tissue, muscle, and tendon body part values, where a specific body part value does not exist for the area surrounding a joint, the corresponding body part is coded as follows: Shoulder is coded to.... Elbow is coded to ... Wrist is coded to ... Hip is coded to .... Knee is coded to ... Ankle is code to .... Elbow is coded to ... Wrist is coded to ... Hip is coded to .... Knee is coded to ... Ankle is code to ....
What is ... What is .. ...Shoulder is coded to Upper Arm ...Elbow is coded to Lower Arm ...Wrist is coded to Lower Arm ...Hip is coded to Upper Leg ...Knee is coded to Lower Leg ...Ankle is coded to Foot
500
A separate procedure to put in a drainage device is coded to the root operation Drainage with what value
What is Drainage Device? (A separate procedure to put in a drainage device is coded to the root operation Drainage with the device value Drainage Device.
500
Character 3 are root operations. How many root operations can you name and define?
What are (see page 5 and 6 of the PCS book)
500
Answer for 2 of the below. 1.Code for Craniotomy with clipping of cerebral aneurysm 2.Code for Tracheostomy formation with tracheostomy tube placement, percutaneous 3.Code Percutaneous placement of Swan-Ganz catheter in superior vena cava 4.Mitral valve replacement using porcine valve, open
1.What is 03VG0CZ? A clip is placed lengthwise on the outside wall of the widened portion of the vessel 2.0B113F4 3.02HV32Z The Swan-Ganz catheter is coded to the device value MONITORIN DEVICE because it monitors pulmonary artery output 4. 02RG08