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June 9, 2014

ICD-10-PCS CHARACTER ANALYSIS: Test Your Knowledge of Character 2 – Body System, Section Qualifier

By Lolita M. Jones, RHIA, CCS

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.”

For 15 of the 16 ICD-10-PCS sections, the second character defines the body system—the general physiological system or anatomical region involved.

The only exception is the Physical Rehabilitation and Diagnostic Audiology section, where the second character defines the section qualifier, which specifies whether the procedure is a rehabilitation or diagnostic audiology procedure.

Using ICD-10-PCS 2014 Tables, identify whether or not the following body systems exist in ICD-10-PCS. The first row has been completed as an example (the Answer Key is provided at the end of the test). To access the 2014 ICD-10-PCS electronic files go 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.”

BODY SYSTEM	EXISTS IN ICD-10-PCS?		If “No,” what is the name(s) of this Body System in ICD-10-PCS?
BODY SYSTEM	YES	NO
Auditory System		X	Ear, Nose, Sinus
Cardiovascular System
Digestive System
Endocrine System
Eye
Female Genital System
Integumentary System
Lymphatic and Hemic Systems
Male Genital System
Musculoskeletal System
Nervous System
Respiratory System
Urinary System

ANSWER KEY (source is the ICD-10-PCS Table listings):

BODY SYSTEM	EXISTS IN ICD-10-PCS?		If “No,” what is the name(s) of this Body System in ICD-10-PCS?
BODY SYSTEM	YES	NO
Auditory System		X	Ear, Nose, Sinus
Cardiovascular System		X	Heart and Great Vessels Upper Arteries Lower Arteries Upper Veins Lower Veins
Digestive System		X	Mouth and Throat Gastrointestinal System Hepatobiliary System and Pancreas
Endocrine System	X
Eye	X
Female Genital System	X		Female Reproductive System is the actual title used in ICD-10-PCS.
Integumentary System		X	Skin and Breast Subcutaneous Tissue and Fascia
Lymphatic and Hemic Systems	X
Male Genital System	X		Male Reproductive System is the actual title used in ICD-10-PCS.
Musculoskeletal System		X	Muscles Tendons Bursae and Ligaments Head and Facial Bones Upper Bones Lower Bones Upper Joints Lower Joints
Nervous System		X	Central Nervous System Peripheral Nervous System
Respiratory System	X		NOTE: Respiratory System procedures are also coded to the “Ear, Nose, Sinus” body system in ICD-10-PCS.
Urinary System	X

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.