
ICD-10-PCS Day 1
Presentation
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Specialty
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Professional Development
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Practice Problem
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Hard
Jennifer Washington
Used 7+ times
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10 Slides • 0 Questions
1
Where and Why?
We often refer to ICD-10-PCS as "inpatient codes" but in reality, they are facility codes.
Inpatient surgeries, supplies, etc. are often coded with CPT codes (or what we call Outpatient codes) as well, but ICD-10-PCS codes allow for facility billing.
In your job search you will see "Facility Coder" and "Pro-Fee Coder"
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Quick Intro to ICD-10-PCS
Some general principles in its purpose
no diagnosis included in procedure codes
limit NOS and NEC options for procedures
Allows for all procedures to be coded
3
ICD-10-PCS codes are always 7 characters long. NEVER more, and NEVER less.
Each character must be filled with a specific value from its corresponding table
Characters and Values
4
With ICD-10-CM, we search for a diagnosis code.
With ICD-10-PCS, we build the code to fit our needs.
The Process
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Look for:
Procedure Titles (appendectomy)
Root Operations (excision)
Body Parts (gall bladder)
and devices (Antibiotic Spacer)
The Index
(not super trustworthy)
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X Diagnostic
NO CRISS-CROSSING ROWS!!!
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Lets talk about root operations for a second...
Why do I say the PCS index is not faithful?
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There are 31 Root Operations
There are nine categories they fall into:
ROOT OPERATIONS THAT INVOLVE:
taking out all or some of a body part
taking out solids, liquids, or gases from a body part
cutting or separation only
altering the diameter or route of a tubular body part
putting in, putting back, or moving some or all of a body part
always involve a device
examination only
defining other repairs
defining other objectives
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10
TONIGHT!
Read page 47-64 and do some practices if you can!
Tomorrows Bellringer on Root Operations and your reading material!
Where and Why?
We often refer to ICD-10-PCS as "inpatient codes" but in reality, they are facility codes.
Inpatient surgeries, supplies, etc. are often coded with CPT codes (or what we call Outpatient codes) as well, but ICD-10-PCS codes allow for facility billing.
In your job search you will see "Facility Coder" and "Pro-Fee Coder"
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