ICD 10 PCS
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Transcript of ICD 10 PCS
ICD-10 PCSPrepared by: Maria Kuch
7 CHARACTERSCharacter 1:SECTION
Character 2: BODY SYSTEM
Character 3: ROOT OPERATION
Character 4: BODY PART
Character 5: APPROACH
Character 6: DEVICE
Character 7: QUALIFIER
CHARACTERS Definition
Character 1:SECTION - is defined as the broad procedure category where the code is found. Or the general type of procedure.
EXAMPLE: The Medical and Surgical SECTION is found under “0” value.
0 Medical and Surgical
2 Heart and Great Vessel
7 Dilation
Character 2: BODY SYSTEM
Body System is defined in which the procedure is performed or the anatomical region where the procedure is performed, such as central nervous system or skeletal system.
Example:
0 - SECTION
N - HEAD & FACIAL BONES
Note Skeletal System is divided in 5 body system
Head & facial bones, upper bones, lower bones, upper joint etc.
Character 2: BODY SYSTEM for Skeletal
N Head & Facial Bones
P Upper BonesQ Lower BonesR Upper JointsS Lower Joints
Character 3: ROOT OPERATION
ROOT Operation is defined as the 3rd character and describe the objective of the procedure such as excision, destruction, etc.Example:0 Medical and Surgical : SECTIONK Muscle : BODY SYSTEM9 Drainage: ROOT OPERATION
TABLE LIST OF ROOT OPERATION - Examples
ROOT OPERATION
WHAT OPERATION
DOESOBJECTIVES OF PROCEDURES PROCEDURE SITE EXAMPLE
ExcisionTakes out
some/all of the body
Cutting out/off without
replacementSome of the body
partBreast
Lumpectomy
DrainageTakes out
solids/fluids/gases from body
Taking/letting out fluids/gases
Within the body part
Incision & drainage
DivisionInvolved cutting
or separation only
Cutting into/separating a
body partWithin the body
part Neurotomy
Transplantation
Puts in/puts back or moves some
all of a body part
Putting in a living body part from a
person/animalSome/all of a
body partKidney
Transplant
Character 4: BODY PART
BODY PART defines the specific anatomical site where the procedure is performed.Body part may specify laterality.Example:BODY SYSTEM - Lower ExtremitiesIn BODY PART it could be LEFT FOOTCentral Nervous = Trigeminal Nerve
Character 5 APPROACH
APPROACH is defines as the technique used to reach the site of the procedure such as open, endoscopic, or external.There are 7 different approaches. The Approach is comprised of 3 components: the access location, method, & type of instrumentation.ACCES LOCATION - specifies the external site through which the procedure is reached.
3 Components of Approach
ACCES LOCATION - specifies the external site through which the procedure is reached.
There are 2 general type of access locations: SKIN or MUCOUS membranes and external orifices.
Skin or mucous can be cut or punctured to reach the procedure site, OPEN & PERCUTANEOUS approach values use this access location. External opening which can be natural (mouth) or artificial (colostomy)
Components of Approachcontinue..
Method - specifies how the external access location is entered. OPEN method = Cutting through the skin or mucous membraneTYPE OF INSTRUMENTATION - refers to the specialized equipment used to perform the procedure.
APPROACH DefinitionOPEN Cutting through the skin or mucous membrane & any other
body layers necessary to expose the site of the procedure
PERCUTANEOUSEntry, by puncture or minor incision, of instrumentation through the skin or
mucous membrane &/or any other body layers necessary to reach the site of the procedure
PERCUTANEOUS ENDOSCOPIC
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane &/or any other body layers necessary to reach and
visualize the site of the procedure.VIA NATURAL OR
ARTIFICIAL OPENINGEntry of instrumentation through natural or artificial external
opening to reach the site of the procedureVIA NATURAL OR
ARTIFICIAL OPENING ENDOSCOPIC
Entry of instrumentation through natural or artificial external opening to reach and visualize the site of the procedure
VIA NATUAL OR ARTIFICIAL OPENING
ENDOSCOPIC W/PERCUTANEOUS
ENDOSCOPIC ASSISTANCE
Entry of instrumentation through a natural or artificial opening to reach & visualize the site of the procedure, & entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane & any other body layers necessary to aid in
the performance of the procedure
EXTERNALProcedure performed directly on the skin or mucous membrane and procedures
performed indirectly by the application of external force through the skin or mucous membrane
APPROACH VALUES0 Open
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening Endoscopic
F Via Natural or Artificial Opening with Percutaneous Endoscopic Assistance
X External