ICD-10-PCS Day 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"

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

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

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Characters and Values

With ICD-10-CM, we search for a diagnosis code.

With ICD-10-PCS, we build the code to fit our needs.

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The Process

Look for:
Procedure Titles (appendectomy)
Root Operations (excision)
Body Parts (gall bladder)
and devices (Antibiotic Spacer)

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The Index
(not super trustworthy)

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​X Diagnostic

​NO CRISS-CROSSING ROWS!!!

Lets talk about root operations for a second...

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Why do I say the PCS index is not faithful?

There are 31 Root Operations

There are nine categories they fall into:

ROOT OPERATIONS THAT INVOLVE:

1. taking out all or some of a body part

2. taking out solids, liquids, or gases from a body part

3. cutting or separation only

4. altering the diameter or route of a tubular body part

5. putting in, putting back, or moving some or all of a body part

6. always involve a device

7. examination only

8. defining other repairs

9. defining other objectives

TONIGHT!

Read page 47-64 and do some practices if you can!

Tomorrows Bellringer on Root Operations and your reading material!