Medical Coding ICD-10-PCS

a QuickStudy Laminated Reference Guide

Shelley C Safian

• Publisher: QuickStudy Reference Guides
• Year: 2018
• Print ISBN: 9781423236559
• eBook ISBN: 9781423240716
• Topic: Medicine
• Subtopic: Medical Theory, Practice & Reference

Updated for 2018 ICD-10 PCS (International Classification of Diseases, Procedure Coding System) guidelines, this 6 page laminated guide covers core essentials of coding clearly and succinctly. Author Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, AHIMA-approved ICD-10-CM/PCS trainer used her knowledge and experience to provide the largest number of valuable facts you can find in 6 pages, designed for you to find answers fast with color coded sections, and bulleted lists. A must for students seeking coding certification and a great desktop refresher for professionals referencing procedural codes that track various health interventions taken by medical professionals.
6-page laminated guide includes:

• Inpatient Procedure Coding
• Selection of Principal Procedure
• ICD-10-PCS Coding Conventions
• ICD-10-PCS Sections & Subsections
• Medical & Surgical Section: Guidelines
• Obstetrics Section: Guidelines
• New Technology Section: Guidelines
• ICD-10-PCS Terms

ICD-10-PCS Terms

Approach Definitions

External: Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

Open: Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

Percutaneous: Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and 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 and any other body layers necessary to reach and visualize the site of the procedure

Via natural or artificial opening: Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure

Via natural or artificial opening endoscopic: Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

Via natural or artificial opening with percutaneous endoscopic assistance: Entry of instrumentation through a natural or artificial external opening and entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to aid in the performance of the procedure

Medical & Surgical Section: Root Operation Definitions

Alteration: Modifying the anatomic structure of a body part without affecting the function of the body part

Bypass: Altering the route of passage of the contents of a tubular body part

Change: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane

Control: Stopping, or attempting to stop, postprocedural or other acute bleeding

Creation: Putting in or on biological or synthetic material to form a new body part, that to the extent possible, replicates the anatomic structure or function of an absent body part

Destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

Detachment: Cutting off all or a portion of the upper or lower extremities

Dilation: Expanding an orifice or the lumen of a tubular body part

Division: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part

Drainage: Taking or letting out fluids and/or gases from a body part

Excision: Cutting out or off, without replacement, a portion of a body part

Extirpation: Taking or cutting out solid matter from a body part

Extraction: Pulling or stripping out or off all or a portion of a body part by the use of force

Fragmentation: Breaking solid matter in a body part into pieces

Fusion: Joining together portions of an articular body part rendering the articular body part immobile

Insertion: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Inspection: Visually and/or manually exploring a body part

Map: Locating the route of passage of electrical impulses and/or locating functional areas in a body part

Occlusion: Completely closing an orifice or the lumen of a tubular body part

Reattachment: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location

Release: Freeing a body part from an abnormal physical constraint by cutting or by the use of force

Removal: Taking out or off a device from a body part

Repair: Restoring, to the extent possible, a body part to its normal anatomic structure and function

Replacement: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

Reposition: Moving to its normal location, or other suitable location, all or a portion of a body part

Resection: Cutting out or off, without replacement, all of a body part

Restriction: Partially closing an orifice or the lumen of a tubular body part

Revision: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Supplement: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

Transfer: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part

Transplantation: Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/ or function of all or a portion of a similar body part

Obstetrics Section: Root Operation Definitions

Abortion: Artificially terminating a pregnancy

Change: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane

Delivery: Assisting the passage of the products of conception from the genital canal

Drainage: Taking or letting out fluids and/or gases from a body part

Extraction: Pulling or stripping out or off all or a portion of a body part by the use of force

Insertion: Putting in a non-biological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part...

Table of contents

• Selection of Principal Procedure
• ICD-10-PCS Coding Conventions
• ICD-10-PCS Sections & Subsections
• Medical & Surgical Section: Guidelines
• Obstetrics Section: Guidelines
• New Technology Section: Guidelines
• ICD-10-PCS Terms