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Detailed Instruction for Appropriate ICD-10-PCS Coding 2012

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Detailed Instruction for Appropriate ICD-10-PCS Coding 2012 2012 INGENIX LEARNING 2012 2012INGENIX LEARNING INGENIX LEARNING NEW See inside for sample pages. CODING & REIMBURSEMENT EDUCATIONAL SERIES: Appropriate ICD-10-PCS Coding Detailed Instruction for for Instruction Detailed Detailed Instruction for Appropriate ICD-10-PCS Coding An educational guide to the structure, conventions, and guidelines of ICD-10-PCS coding Detailed Instruction for Appropriate ICD-10-PCS Coding Master the different organizational principles and classification system in ICD-10-PCS coding. A full suite of resources including the latest code set, mapping products, and expert A full suite of resources including the latest ICD-10 training to help you make a smooth transition. ICD-10 code set, mapping products, and expert www.optumcoding.com/ICD10 training to helpIngenix you now make OptumInsight, a smooth part of Optum—transition. www.shopingenix.com/ICD10a leading health services business. A successful transition from ICD-9-CMChapter to the 2: ICD-10-PCS coding system will require focused Introductiontraining for individuals toand organizations ICD-10-PCS alike. Procedure codes are built from a range of variables including root operation, body system, STRUCTURE AND COMPONENTS OBJECTIVES This chapter will provide an overviewbody of the part, structure approach, of ICD-10-PCS and and more—not how In this selected chapter you will learn: its components make up each code. In addition, the PCS coding conventions from a list. And, in some instances,• multiple The basic structure of each contained in the official ICD-10-PCS Coding Guidelines will be discussed. The ICD-10-PCS code complete set of official guidelines may be found in appendix A at the end of this codes may even be needed. • The general definition of each of book. the seven PCS characters ™ • About the three components of The ICD-10-PCS system is a completelyThe Optum different Detailed type of Instruction coding system for Appropriatethan ICD-10-PCSPCS (Index, Tables, Coding List of Codes) ISBN: 978-1-60151-609-1 many coding professionals may begoes familiar beyond with. the Instead official of guidelineslooking up bycodes anticipating in • Thequestions structure andof the PCS tables Itemthe number: index and ITPE12 verifying a fixed code in the tabular list that most likely matches points of confusion. This resource helps beginningfrom and which advanced codes are constructed Price:the $129.95documentation in medical record, PCS codes are constructed from • How to use the alphabetic index Size:component 8 in x 11 parts in found in tables. codersEvery PCS understand code is made the different up of seven approach to ICD-10-PCSto initiate coding, code construction an Binding:characters, softbound and each character representsessential a distinctskill since value. reimbursements An alphabetic forindex Medicare is inpatient services used to direct the coder to a specificmake PCS up table, a significant where the portion remaining of hospitalcode values revenues. are selected. By utilizing a table format, exponentially more codes may be constructed in PCS than were availableThe Detailed in ICD-9-CM Instruction volume for 3.Appropriate Compared ICD-10-PCSto Coding can Orderthe today.current “look-up” process for ICD-9-CM,help you: coding in ICD-10-PCS requires a process of combining semi-independent• Master values the from very among different a selection organizational of values, principles and completely according to the rules governing the construction of codes. CALL new classification system that are the foundation of ICD-10-PCS Characters with this easy-to-follow guide. 800.464.3649, option 1 Each character in PCS can contain• upMap to 34ICD-9-CM character procedure value options. terminology Each value to ICD-10-PCS rootCODING AXIOM represents a specific option for the generaloperation character terminology. definitions. The The umbrella alphabetic procedures in ICD-9-CM characters A–H, J–N, and P–Z, along with numbers 0–9 are used as character Official Guideline A1: ICD-10-PCS map to several alternative root operations, and,codes some are PCScomposed of seven values Vin ISITany character position. In order to avoid confusion with numbers 0 characters. Each character is an axis and 1, the letters I and O are not utilized.root operations The vast majority may map of PCS backwards codes follow to many commonlyof classification used that specifies www.optumcoding.comthe format below, with a few exceptionsprocedural related toterms slightly in ICD-9-CM. different character This resource helpsinformation you understand about the procedure definitions for some of the ancillary-related types of services. performed. Within a defined code the key factors that will determine your code selection.range, a character specifies the same type of information in that Character Character Character • CharacterTranslate commonlyCharacter usedCharacter ICD-9-CMCharacter procedural terms to ICD-10- axis of classification. 1 2 3 PCS4 root operations5 with6 the exclusive7 Optum Root Operation Section Body Root BodyConversion Part Approach Table. Device Qualifier System Operation • Quickly solve the foremost ICD-10-PCS coding challenges. Expert A code is constructed by choosing a guidancespecific value helps for coders each of select the seven the correct root operation from characters. Based on details about theamong procedure the 31 performed, root operations values for found each in the medical and surgical character specifying the section, bodysection system, as root well operation, as understand body CMSpart, body part and device keys that approach, device, and qualifier are assigned. Because the definition of each EFINITIONS are crucial to appropriate code assignment. D character is also a function of its physical position in the code, the same letter or • Test your skills with real-life coding scenarios thatIn ICD-10-PCS include boththe term procedure number placed in a different position in the code has a different meaning. Codes refers to the complete specification are constructed using tables that are answersdefined byand their answer first threerationale character that values.explain whyof the the sevencorrect characters answer that form a The tables will be discussed later in isthis the chapter. most appropriate. valid code. • Follow essential steps in the code building process with a distillation of official guidelines. © 2011 OptumInsight 67 Chapter 2: Introduction to ICD-10-PCS Chapter 2: Introduction to ICD-10-PCS STRUCTURE AND COMPONENTS OBJECTIVES This chapter will provide an overview of the structure of ICD-10-PCS and how In this chapter you will learn: STRUCTURE AND COMPONENTS OBJECTIVES its components make up each code. In addition, the PCS coding conventions • The basic structure of each This chapter will provide an overview of the structure of ICD-10-PCS and how In this chapter you will learn: contained in the official ICD-10-PCS Coding Guidelines will be discussed. The ICD-10-PCS code its components make up each code. In addition, the PCS coding conventions complete set of official guidelines may be found in appendix A at the end of this • The basic structure of each • The general definition of each of contained in the official ICD-10-PCS Coding Guidelines will be discussed. The ICD-10-PCS code book. the seven PCS characters complete set of official guidelines may be found in appendix A at the end of this • The general definition of each of • About the three components of book. the seven PCS characters The ICD-10-PCS system is a completely different type of coding system than PCS (Index, Tables, List of Codes) • About the three components of The ICD-10-PCS system is a completely different type of coding system than many coding professionals may be familiar with. Instead of looking up codes in • The structure of the PCS tables PCS (Index, Tables, List of Codes) Master the manyvery differentcoding professionals may be familiar with. Instead of looking up codes in the index and verifying a fixed code in the tabular list that most likely matches from which codes are constructed • The structure of the PCS tables the index and verifying a fixed code in the tabular list that most likely matches the documentation in medical record, PCS codes are constructed from organizational principles and from which codes are constructed • How to use the alphabetic index the documentation in medical record, PCS codes are constructed from to initiate code construction completely new classification • How to use the alphabetic index component parts found in tables. Every PCS code is made up of seven component parts found in tables. Every PCS code is made up of seven to initiate code construction characters, and each character represents a distinct value. An alphabetic index is system thatcharacters, are the foundation and each character represents a distinct value. An alphabetic index is used to direct the coder to a specific PCS table, where the remaining code values of ICD-10-PCS.used to direct the coder to a specific PCS table, where the remaining code values are selected. By utilizing a table format, exponentially more codes may be are selected. By utilizing a table format, exponentially more codes may be constructed in PCS than were available in ICD-9-CM volume 3. Compared to constructed in PCS than were available in ICD-9-CM volume 3. Compared to the current “look-up” process for ICD-9-CM, coding in ICD-10-PCS requires a the current “look-up” process for ICD-9-CM, coding in ICD-10-PCS requires a process of combining semi-independent values from among a selection of values, process of combining semi-independent values from among a selection of values, according to the rules governing the construction of codes. according to the rules governing the construction of codes. Characters Characters Distills official guidelines Each character in PCS can contain up to 34 characterinto valueessential options. steps Each in the value CODING AXIOM Each character in PCS can contain up to 34 character value options.
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