ICD-10-PCS Introduction and Characters 1 and 2
TLDRIn this informative presentation, Terry Trophen introduces ICD-10-PCS coding, discussing its structure, the significance of each character in the code, and how to use the index and official guidelines. With a focus on the medical and surgical section, Trophen explains the process of building a valid code and the importance of staying within the same row for character selection. The video also touches on the complexity of body systems in PCS and offers practical tips for remembering guidelines, promising future lessons on characters three to seven.
Takeaways
- 📘 ICD-10-PCS coding is a system developed by 3M Corporation for CMS, distinct from ICD-10-CM which is from WHO.
- 🎓 Terry Trophen is an AHIMA approved ICD-10 trainer with a master's in healthcare administration informatics and over 20 years of teaching experience.
- 📚 The PCS coding system consists of 7-character codes, with 34 possible values for each character, allowing for expansion as new procedures and devices are developed.
- 🔢 Each code character can include specific devices, body parts, or operative approaches, contributing to the system's flexibility.
- 📖 The PCS classification is divided into 16 sections related to the general type of procedures, facilitating future expansion.
- 🔍 The ICD-10-PCS book includes an index and tabular format for character 1 and character 2, with official guidelines providing detailed information.
- 🏥 The first three characters of a PCS code identify the section, such as medical and surgical (zero), obstetrics (one), and administration (two).
- 📈 For 2021, ICD-10 PCS allows for 78,103 possible codes, with the medical and surgical section being the largest.
- 🔑 When coding, characters within a section have consistent meanings; for example, '3' in the medical and surgical section always means 'bypass'.
- 🔎 The index in the PCS book lists main terms in alphabetical order and provides guidance on root operations and body sites for specific procedures.
- 📚 Appendices in the PCS book offer additional helpful information, including coding exercises and answers for practice.
Q & A
What is the primary focus of this presentation?
-The primary focus of this presentation is to introduce ICD-10-PCS coding, including general information about PCS and a discussion of characters one and two.
What are Terry Trophen's qualifications in relation to this presentation?
-Terry Trophen has a master's in healthcare administration informatics, RHIA and CCSP certifications, and is an AHIMA approved ICD-10 trainer. He has taught health information technology at Montgomery College in Maryland for over 20 years and has written books on coding.
How many possible values are there for each character in a PCS code?
-There are 34 possible values for each character in a PCS code, which may include a specific device, a body part, or an operative approach.
What is the significance of the first three characters in a PCS code?
-The first three characters in a PCS code help to identify the general type of procedure, such as medical and surgical, obstetrics, placement, etc.
How does the ICD-10-PCS classification system allow for expansion with new procedures and devices?
-The ICD-10-PCS classification system allows for almost infinite expansion with new procedures and devices by having 34 possible values for each character and dividing the classification into 16 sections related to the general type of procedures.
Why are the letters 'O' and 'I' not used in the ICD-10-PCS coding system?
-The letters 'O' and 'I' are not used in the ICD-10-PCS coding system because they could easily be confused with the numbers 0 and 1.
What is the role of the index in the ICD-10-PCS book?
-The index in the ICD-10-PCS book provides main terms in alphabetical order, which may be the type of procedure performed, an anatomical site, or a device. It helps coders find the initial characters of a code and directs them to the appropriate table for the remaining digits.
How can you determine if a PCS code is valid?
-A valid PCS code must have all seven characters within the same row of the tabular list. Each column represents a body part, approach, device, or qualifier, and valid codes include combinations of choices in characters four through seven contained in the same row.
What are the appendices in the ICD-10-PCS book used for?
-The appendices in the ICD-10-PCS book contain important and helpful information, such as coding exercises and answers, which are great for practice when learning PCS coding. They also include specific appendices for body part characters and root operations.
How many possible codes are there in ICD-10 PCS for 2021?
-In ICD-10 PCS for 2021, there is a possibility of 78,103 codes.
What body systems are considered in the ICD-10-PCS coding system?
-The body systems used in the ICD-10-PCS coding system include central nervous system, peripheral nervous system, heart and great vessels, upper and lower arteries, upper and lower veins, lymphatic and hammock, eye, ear, nose, and sinus, respiratory system, mouth and throat, gastrointestinal, hepatobiliary and pancreas, endocrine system, skin and breasts, subcutaneous tissue and fascia, muscles, tendons, bursa, and ligaments, upper and lower bones, upper and lower joints, and anatomical regions general, upper extremities, and lower extremities.
Outlines
📚 Introduction to ICD-10-PCS Coding
This paragraph introduces Terry Trophen, an expert in healthcare administration informatics, who is presenting on ICD-10-PCS coding. It outlines his qualifications, including a master's degree, RHIA and CCSP certifications, and his experience as an AHIMA approved ICD-10 trainer. The video's purpose is to provide an overview of ICD-10-PCS coding, focusing on characters one and two, with future videos covering the remaining digits. The ICD-PCS system, developed by 3M Corporation for CMS, is contrasted with ICD-10-CM from the WHO. The paragraph also discusses the structure of ICD-PCS codes, which must have seven characters with 34 possible values each, allowing for extensive expansion. The classification is divided into 16 sections related to the type of procedure, and the video provides an overview of the ICD-PCS book sections.
🔍 Understanding ICD-10-PCS Code Structure and Index
This paragraph delves into the specifics of ICD-10-PCS code construction, emphasizing that each code is built across a single row in the coding table. It explains that valid codes include combinations of choices within the same row, and that characters within a section maintain the same meaning. The index's role in ICD-10-PCS coding is highlighted, detailing how it lists main terms in alphabetical order, which could be procedure types, anatomical sites, or devices. The index also provides notes for C&U's, indicating possible root operations and specific bodies or devices used in the table. The paragraph underscores the importance of referring to the table to obtain the complete code after using the index.
📚 Appendices and Body Systems in ICD-10-PCS
The paragraph discusses the significance of appendices in ICD-10-PCS, which contain valuable information for coding, such as coding exercises and answers for practice. It also explains the body systems used in ICD-10-PCS, noting that some are divided into separate sections for upper and lower parts, while others are combined into a single system. The body systems are listed, and the paragraph clarifies how certain body parts may belong to multiple systems or be divided differently in PCS compared to traditional anatomical classifications. The video prompts viewers to practice selecting a body system based on given scenarios.
💡 Tips for Memorizing ICD-10-PCS Guidelines
In this paragraph, the speaker offers advice on how to remember the extensive guidelines in the ICD-10-PCS book. Suggestions include making notes in the book itself, such as underlining or highlighting sections that refer to specific body systems or root operations. The video concludes with an invitation for questions or comments and a mention of the speaker's books on coding available on Amazon. The speaker also provides a way for viewers to find his books and concludes the video with a thank you note, promising more lessons in the future.
Mindmap
Keywords
💡ICD-10-PCS
💡Coding
💡Seven-Digit Code Structure
💡Character Values
💡Sections and Classification
💡Index and Tabular Format
💡Valid and Invalid Codes
💡Appendices and Coding Exercises
💡Body Systems
💡Anatomical Regions
💡Guidelines and Conventions
Highlights
Introduction to ICD-10-PCS coding by Terry Trophen, an experienced healthcare educator and AHIMA approved ICD-10 trainer.
ICD-PCS was developed by 3M Corporation under a contract with CMS and has been in use since 1998.
Each ICD-PCS code must consist of seven characters, with 34 possible values for each character, allowing for expansion as new procedures and devices are developed.
The classification is divided into 16 sections related to the general type of procedures, enabling future expansion with new values as needed.
In ICD-10-PCS, the first three characters of a code help identify the section, with 78,103 possible codes for 2021.
The ICD-PCS table specifies which characters can be used together to create a valid code, with each column representing a different aspect of the code such as body part, approach, device, and qualifier.
Valid ICD-10-PCS codes include combinations of choices in characters four through seven contained in the same row of the tabular list.
The index in the ICD-PCS book is organized alphabetically and includes main terms related to procedures, anatomical sites, and devices.
The appendices in ICD-PCS provide important and helpful information, including coding exercises and answers for practice.
The official guidelines in ICD-PCS cover various sections such as conventions, medical and surgical section guidelines, obstetric section guidelines, radiation therapy guidelines, and new technology guidelines.
Body systems in ICD-PCS are categorized differently than in traditional anatomy, with some systems divided into multiple sections for upper and lower parts.
Anatomical regions are used when a procedure involves more than one body system or when a procedure is performed in a body cavity.
Terry Trophen offers practical advice on how to remember ICD-PCS guidelines by making notes in the book to jog one's memory.
Trophen's books on coding, which serve as study guides summarizing coding guidelines, are available on Amazon.
Upcoming videos will cover characters three to seven in ICD-10-PCS coding, providing further education on the topic.
Transcripts
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