Introduction to ICD-10-PCS Coding for Beginners Part III

This paragraph introduces the concept of PCS coding, specifically for medical and surgical procedures. Mrs. J welcomes the audience to the session and outlines the learning objective, which is to provide instruction on PCS coding, focusing on medical and surgical related procedures. The session begins with a review of previously learned material about the PCS code, its characters, and the medical and surgical section of the book. The importance of understanding the first character of the PCS code is emphasized, as it indicates the section of the book from which the code is derived.

The paragraph delves into the specifics of coding for obstetrics. It explains the value system for obstetrics, which ranges from one to nine, with each value representing a different aspect of obstetrics. The discussion covers the meaning of each value, from obstetrics itself to chiropractic procedures. The coding process for obstetrical procedures is detailed, including the interpretation of the code series, body system, root operations, body parts, and other relevant components. The paragraph also touches on the definition of 'products of conception' and the different scenarios under which they are coded.

This section continues the discussion on obstetrics coding, focusing on the root operations specific to the obstetrical section. It explains the different root operations such as change, drainage, abortion, extraction, delivery, insertion, inspection, removal, repair, reposition, resection, and transplantation. The paragraph clarifies the coding for different types of deliveries, including C-sections and vaginal deliveries with assistance, and how to identify the root operation for each. It also addresses the coding of procedures not considered products of conception, such as an episiotomy, and how they are coded separately from the obstetrics section.

The paragraph provides a comprehensive overview of the root operations used in obstetrics, along with their definitions. It explains the objective behind each root operation, from changing a device to resection, which involves cutting out a body part. The paragraph emphasizes the importance of understanding the objective of a procedure to correctly apply the root operation. It also clarifies the coding for different types of deliveries, including vaginal delivery with episiotomy and low transverse cesarean section, and how to identify the correct approach and device for each procedure.

This section introduces the coding for placement and administration. Placement coding is defined as procedures performed without making an incision or puncture, and the paragraph outlines the root operations for anatomical regions and orifices. The administration section covers injections, infusions, and transfusions, with a focus on the circulatory system. The paragraph explains the different body systems and regions, root operations, approaches, substances, and qualifiers involved in administration coding. It also provides examples of how to code specific procedures, such as peritoneal dialysis and total parental nutrition administration.

The paragraph discusses the coding for measurement and monitoring procedures, which represent procedures that determine the level of a physiological or physical function. It differentiates between measurement, which determines the level of function at a point in time, and monitoring, which does so repeatedly over a period of time. The paragraph outlines the body systems that can be measured or monitored, the approaches used, and the devices or functions involved. It also provides an exercise on coding for a cardiac stress test, emphasizing the importance of understanding the root operation and the correct table to refer to for coding.

This section explains extra corporal assistance and performance, which involves using equipment to support physiological functions. The paragraph defines the root operations of assistance, performance, and restoration, and differentiates between them. It outlines the body systems involved, the duration of the procedure, the function performed, and the qualifiers used in coding. The paragraph provides examples of how to code for specific procedures, such as mechanical ventilation and liver dialysis, and emphasizes the importance of understanding the objective of the procedure to correctly apply the root operation.

The paragraph introduces extra corporal therapies, which are systemic procedures not defined by the root types of assistance, performance, or restoration. It outlines the different root operations, body systems, durations, and qualifiers used in coding for these therapies. The paragraph provides examples of the types of therapies covered, such as atmospheric control, electromagnetic therapy, and shockwave therapy. It also provides an exercise on coding for donor thrombocytopharesis and whole body hypothermia, highlighting the process of looking up the correct root operation and applying it to the coding system.

This section discusses osteopathic procedures, which are part of alternative medicine focusing on the musculoskeletal system. The paragraph defines osteopathy and its goal of restoring motion and balance to the body. It outlines the coding structure for osteopathic procedures, including the body system, root operation, body region, approach, method, and qualifier. The paragraph provides examples of specific osteopathic treatments and their corresponding codes, such as isotonic muscle energy treatment and low velocity high amplitude osteopathic treatment for the head.

The paragraph covers other medical and surgical procedures that do not fit into the previously mentioned categories. It defines other procedures as methodologies attempting to treat a disorder or disease not elsewhere classifiable. The paragraph outlines the coding structure for these procedures, including the body or device system, root operation, body region, approach, method, and qualifier. It provides examples of specific procedures and their coding, such as near-infrared spectroscopy of leg vessels, and emphasizes the process of identifying the correct category and code for each procedure.