ICD-10-PCS Reference Manual - CMS
[Pages:186]Preliminary 12/10/07
ICD-10-PCS Reference Manual
12/10/07 Preliminary
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Preliminary 12/10/07
THE INTERNATIONAL CLASSIFICATION OF DISEASES Tenth
Revision Procedure Coding System (ICD-10-PCS) was developed with the support of the Centers for Medicare and Medicaid Services, under contract Nos. 90-1138, 91-22300, 500-95-0005, and HHSM-500-2004-00011C to 3M Health Information Systems.
Rhonda R. Butler, CCS, CCS-P Robert L. Mullin, M.D. Thelma M. Grant, MBA, RHIA Richard F. Averill, M.S. Barbara A. Steinbeck, RHIT The opinions expressed are solely those of the authors, and do not necessarily represent those of the Centers for Medicare and Medicaid Services.
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Preface
THE INTERNATIONAL CLASSIFICATION OF DISEASES Tenth
Revision Procedure Coding System (ICD-10-PCS) is a new system for coding inpatient procedures, developed for the Centers for Medicare and Medicaid Services (CMS).
This manual is written as a general introduction for data managers, payers, administrators, and medical record coders. For readers who do not need a detailed understanding of ICD-10-PCS but would like a general introduction, the material in chapter 1 and the appendices is recommended.
Manual organization Chapter 1 Chapter 2
The manual is organized into the following chapters and appendices. A glossary also provides a list of terms introduced in the manual.
Overview. Includes a general introduction to ICD-10-PCS, a brief history of its development, and a presentation of the code structure, organization, and characteristics. The first part of the overview contains basic information; the second and third parts discuss structure, characteristics, and applications in more detail.
Procedures in the Medical and Surgical section. Provides reference material for each root operation in the MEDICAL AND SURGICAL section (0), with the full definition, additional explanation as needed, a code example, and coding exercises for each root operation.
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Chapter 3 Chapter 4 Appendix A Appendix B
Procedures in the Medical and Surgical-related sections. Provides reference material for each of the Medical and Surgical-related sections (1?9), with definitions, additional explanation as needed, a code example, and coding exercises for each section.
Procedures in the ancillary sections. Provides reference material for each of the ancillary sections (B?D, F?H), with definitions, additional explanation as needed, a code example, and coding exercises for each section.
ICD-10-PCS definitions. Tables listing the full definitions of all root operations and approaches in the MEDICAL AND SURGICAL section.
ICD-10-PCS draft coding guidelines. Contains draft guidelines for coding procedures with ICD-10-PCS.
Conventions used Small capital letters Root operation boxes
This manual uses several conventions throughout, as described below.
Small capital letters are used to distinguish words that define code components, as in the root operation TRANSPLANTATION.
Root operation boxes are used to present the full definition of root operations in the MEDICAL AND SURGICAL section, including explanation and examples. A root operation box is shown below. Root operation boxes are used in chapter 2.
Drainage 9
Definition Explanation Examples
Taking or letting out fluids and/or gases from a body part The fluids or gases may be normal or abnormal Incision and drainage, thoracentesis
Table excerpts
Table excerpts present a single code in the ICD-10-PCS Table format, identifying all components of the code. Text descriptions are truncated as needed to fit the compressed format, as in the example below.
Character 1 Section
MEDICAL AND SURGICAL
0
Character 2 Body System
Character 3 Root Operation
RESPIRATORY
EXCISION
B
B
Character 4 Body Part
Character 5 Approach
LOWER LOBE BRONCHUS, RT
OPEN
6
0
Character 6 Device
NO DEVICE
Character 7 Qualifier
DIAGNOSTIC
Z
X
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Root operation groups
This table is used only in chapter 2 to organize root operations in the MEDICAL AND SURGICAL section, highlighting distinguishing features. .
Root operation Procedure Objective
Procedure Site
Example
Drainage
Taking/letting out fluids/gases Within a body part
I&D of perinephric cyst
Extirpation
Taking/cutting out solid matter Within a body part
Taking out a kidney stone
Fragmentation Breaking solid matter into pieces Within a body part without removal
Lithotripsy of kidney stone
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