Updated on: March 16, 2016

100 Tips for ICD-10-PCS Coding (Tips 11-20)

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Original story posted on: February 21, 2013

ICD-10-PCS represents a major departure from ICD-9-CM procedure coding. In fact, many coding specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM). In order to ease the transition, we are providing tips for coding under this system.

 

To download the 2013 ICD-10-PCS root operation tables and resources, go online to

http://www.cms.gov/Medicare/Coding/ICD10/2013-ICD-10-PCS-GEMs.html.

Tip No. 11

The following cranial nerve body parts are listed only by their proper names in some Central Nervous System root operation tables (such as 009), however a physician may document them using the numbers listed in parentheses; either reference is correct.

 

  • Olfactory nerve (cranial nerve I)
  • Optic nerve (cranial nerve II)
  • Oculomotor (cranial nerve III)
  • Trochlear nerve (cranial nerve IV)
  • Trigeminal (cranial nerve V)
  • Abducens nerve (cranial nerve VI)
  • Facial nerve (cranial nerve VII)
  • Acoustic nerve (cranial nerve VIII)
  • Glossopharyngeal nerve (cranial nerve IX)
  • Vagus nerve (cranial nerve X)
  • Accessory nerve (cranial nerve XI)
  • Hypoglossal nerve (cranial nerve XII)

 

Tip No. 12

In the Peripheral Nervous System root operation tables (for example, 015), be careful when coding any of the following body parts. Also remember, a plexus is not an individual nerve, it is an intermingling of nerves:

  • Cervical plexus
  • Cervical nerve
  • Lumbar plexus
  • Lumbar nerve
  • Sacral plexus
  • Sacral nerve

Tip No. 13

Be careful when selecting an intraluminal device value in the Heart and Great Vessels root operation table 027, because the device options include:

  • Intraluminal device
  • Intraluminal device, drug-eluting
  • Intraluminal device, radioactive

Tip No. 14

The qualifier value “J -Temporary” is provided in the Heart and Great Vessels root operation table 02V to allow proper coding of procedures in which the abdominal aorta is partially occluded via an endovascular balloon catheter.

Tip No. 15

Some of the Upper Arteries root operation tables (031 thru 03W) contain the body part value “Y-Upper Artery.” Be sure to check the ICD-10-PCS Body Part Key to verify that the artery you are coding is not classified to an artery that is already listed in the root operation table.

 

 

Tip No. 16

Some of the Lower Arteries root operation tables (041 – 04W) include three body part options for the colic artery:

  • Colic artery, right
  • Colic artery, left
  • Colic artery, middle

 


 

Tip No. 17

Some of the Lower Arteries root operation tables (041 thru 04W) contain the body part value “Y-Lower Artery.” Be sure to check the ICD-10-PCS Body Part Key to verify that the artery you are coding is not classified to an artery that is already listed in the root operation table.

 

 

No. 18

When coding a bilateral procedure, use a bilateral value qualifier if one is listed in the root operation table (see an example below):

Section

0

Medical and surgical

Body System

4

Lower arteries

Operation

1

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

 

Body Part

Approach

Device

Qualifier

 

 

4 Splenic Artery

 

0 Open

 

4 Percutaneous

Endoscopic

 

 

9 Autologous Venous Tissue

A Autologous Arterial Tissue

J Synthetic Substitute

K Nonautologous Tissue Substitute

Z No Device

 

3 Renal Artery, Right

 

4 Renal Artery, Left

 

5 Renal Artery, Bilateral

 

 

 

Tip No. 19

Some of the Upper Veins root operation tables (051 thru 05W) contain the body part value “Y-Upper Vein.” Be sure to check the ICD-10-PCS Body Part Key to verify that the vein you are coding is not classified to a vein that is already listed in the root operation table.

 

Tip No. 20

Some of the Lower Veins root operation tables (061 thru 06W) contain the body partvalue “Y-Lower Vein.” Be sure to check the ICD-10-PCS Body Part Key to verify that the vein you are coding is not classified to a vein that is already listed in the root operation table.

 

Read all previous coding tips

Read Coding Tips 91-100

Read Coding Tips 81-90

Read Coding Tips 71-80

Read Coding Tips 61-70

Read Coding Tips 51-60

Read Coding Tips 41-50

Read Coding Tips 31-40

Read Coding Tips 21-30

Read Coding Tips 11-20

Read Coding Tips 1-10

NOTES

AHIMA letter to CMS regarding ICD-10-PCS Topics (Nov. 14, 2012): http://www.ahima.org/downloads/pdfs/advocacy/AHIMA%20Comments%20on%20ICD-10-PCS%20Procedure%20Code%20Proposals%20Sept%202012%20C_M%20Comte%20Mtg.pdf

Seeley, R. R., Tate, P., & Stephens, T. D. (2009). Anatomy & physiology. (8 ed., Vol. 1). New York, N.Y.: McGraw-Hill College.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.
Lolita M. Jones, RHIA, CCS

Lolita M. Jones, RHIA, CCS, is the principal of Lolita M. Jones Consulting Services (LMJCS), founded in October 1998 in Fort Washington, MD. Ms. Jones has over 25 years of experience in coding and consulting. She started preparing for the implementation of ICD-10-CM/PCS by going back to school. On September 12, 2010, Ms. Jones became an AHIMA-approved ICD-10-CM/PCS trainer.