April 14, 2014

ICD-10-PCS Character Analysis: Test Your Knowledge of Character 1

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While the implementation of ICD-10-CM/PCS has been delayed until at least October 2015, you shouldn’t delay your training in and mastery of ICD-10-PCS, the more complicated of the two classification systems. In the coming months, we will use the delay to test your knowledge of each of the seven characters used to build an ICD-10-PCS code.

 

The process of constructing codes in ICD-10-PCS is designed to be logical and consistent: individual letters and numbers called "values" are selected in sequence to occupy the seven spaces of the code, called "characters." The first character in the code determines the broad procedure category, or section, where the code is found.

The following are the 16 sections in ICD-10-PCS:

  • Administration

  • Chiropractic

  • Extracorporeal Assistance and Performance

  • Extracorporeal Therapies

  • Imaging

  • Measurement and Monitoring

  • Medical and Surgical

  • Mental Health

  • Nuclear Medicine

  • Obstetrics

  • Osteopathic

  • Other Procedures

  • Physical Rehabilitation and Diagnostic Audiology

  • Placement

  • Radiation Therapy

  • Substance Abuse Treatment.

Use the ICD-10-PCS 2014 tables and index to identify the ICD-10-PCS section where each of the following procedures is coded(the answer key is provided at the end of the test). To access the 2014 ICD-10-PCS electronic files, go online to: http://www.cms.gov/Medicare/Coding/ICD10/2014-ICD-10-PCS.html, scroll down, and download the folder titled “2014 Code Tables and Index.” When you open the folder, you will see the following file:“PCS_2014.” This PDF file is the “ICD-10-PCS 2014 Tables and Index.”

Procedure: PCS Section:

Amniocentesis _____________________________
Artificial rupture of membranes (AROM) _____________________________
BiPAP _____________________________
Blood transfusion _____________________________
Bone marrow transplant _____________________________
Bronchial alveolar lavage (BAL) _____________________________
Cardioplegia _____________________________
Cast application _____________________________
Chemotherapy _____________________________
Coronary arteriography _____________________________
Dermabrasion _____________________________
Brachytherapy seed insertion into the eye _____________________________
Electroconvulsive therapy (ECT) _____________________________
Electrophysiologic stimulation (EPS) _____________________________
Fetal pulse oximetry _____________________________
Hemodialysis _____________________________
Intra-aortic balloon assist device insertion _____________________________
Intracardiac electrophysiologic 3-dimensional mapping _____________________________
In-vitro fertilization (IVF) _____________________________
Nerve block (anesthetic injection) _____________________________
Peritoneal dialysis _____________________________
Plasmapheresis _____________________________
Quarantine _____________________________
Robotic assisted procedure _____________________________
Total parenteral nutrition (TPN) _________________________ 

 

Answer Key (source is the ICD-10-PCS index):

Amniocentesis: Obstetrics (109)

Artificial rupture of membranes (AROM): Obstetrics (109)

BiPAP: Extracorporeal Assistance and Performance (5A0)

Blood transfusion: Administration (302)

Bone marrow transplant: Administration (302)

Bronchial alveolar lavage (BAL): Med/Surg (0B9)

Cardioplegia: Administration (3E0)

Cast application: Placement (2W3)

Chemotherapy: Administration (3E0)

Coronary arteriography: Imaging (B20, B21)

Dermabrasion: Med/Surg (0HD)

Brachytherapy seed insertion into the eye: Med/Surg (08H, 08P)

Electroconvulsive therapy (ECT): Mental Health (GZB)

Electrophysiologic stimulation (EPS): Measurement (4A0)

Fetal pulse oximetry: Obstetrics (10H)

Hemodialysis: Extracorporeal Therapy (5A1)

Intra-aortic balloon assist device insertion: Extracorporeal Assistance and Performance (5A0)

Intracardiac electrophysiologic 3-dimensional mapping: Med/Surg (02K)

In-vitro fertilization (IVF): Other Procedures (8E0)

Nerve block (anesthetic injection): Administration (3E0)

Peritoneal dialysis: Administration (3E1)

Plasmapheresis: Extracorporeal Therapies (6A5)

Quarantine: Other Procedures (8E0)

Robotic assisted procedure: Other Procedures (8E0)

Total parenteral nutrition (TPN): Administration (3E0)

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.