what are the seven characters of the icd 10 pcs codes

by Maxie Wisoky Published 3 years ago Updated 2 years ago

There are seven (7) characters in each ICD-10-PCS (Procedural Coding System) code. Each character has a slightly different meaning related to that particular section meaning related to that particular section. Surgical, obstetric, imaging, etc. Musculoskeletal – K = muscles; L = tendons; P = upper bones, etc.

Terms in this set (8)

Section : Character 1. ...
Body System : Character 2. ...
Root Operation : Character 3. ...
Body Part : Character 4. ...
Approach : Character 5. ...
Device : Character 6. ...
Qualifier : Character 7. ...
Qualifier.

Full Answer

What does the 7th character in an ICD-10-PCS code represent?

In ICD-10-PCS the seventh character defines the qualifier – i.e., an additional attribute of the procedure, if applicable.

What are the characteristics of ICD-10-PCS codes?

ICD-10-PCS has a seven character alphanumeric code structure. Each character contains up to 34 possible values. Each value represents a specific option for the general character definition (e.g., stomach is one of the values for the body part character).

What are the 7 approaches in ICD-10-PCS?

ICD-10-PCS describes seven different approaches: open, percutaneous, percutaneous endoscopic, via natural or artificial opening, via natural or artificial opening endoscopic, via natural or artificial opening with percutaneous endoscopic assistance, and external.

Do all ICD-10 codes have 7 characters?

Codes in the ICD-10-CM code set can have anywhere from three to seven characters. The more characters there are, the more specific the diagnosis. The first character is always alpha (i.e., a letter), but characters two through seven can be either alpha or numeric.

What is the first character of all ICD-10-PCS codes?

The first character of all ICD-10-PCS code? the site of the procedure.

What does the 5th character of the ICD-10-PCS code indicate?

The fifth character in the Medical and Surgical Section defines the Approach, or the surgical technique used to reach the procedure site, such as open, endoscopic, or external. Each Table in the ICD-10-PCS manual lists the acceptable Approaches for each Root Operation value and Body Part value.

When constructing a code in PCS all seven characters must be specified to be a valid code?

A8 All seven characters must be specified to be a valid code. If the documentation is incomplete for coding purposes, the physician should be queried for the necessary information. A9 Within a PCS table, valid codes include all combinations of choices in characters 4 through 7 contained in the same row of the table.

How many sections are there in ICD-10-PCS?

17 sectionsThere are 17 sections to ICD-10-PCS. The sections relate to the type of procedure being performed. They are the following: Medical and surgical.

What does the sixth character of an ICD 10 CM code accomplish?

The 6th character Device is defined as the material or appliance used to accomplish the objective of the procedure that remains in or on the procedure site at the end of the procedure.

Which of the following 7th character is commonly used?

The most common 7th characters are A, D, and S. As a therapist, you almost always provide care during the healing or recovery phase of an injury and will therefore use the D character. More specifically, the following is an explanation of when each character is used.

Which coding guideline lets a coder know to always have 7 characters ICD-10-PCS code?

What are the 7 characters used for encounter types and what do they indicate?

Fracture CodingA, Initial encounter for closed fracture.B, Initial encounter for open fracture.D, Subsequent encounter for fracture with routine healing.G, Subsequent encounter for fracture with delayed healing.K, Subsequent encounter for fracture with nonunion.P, Subsequent encounter for fracture with malunion.More items...

What is the medical code?

The Medical and Surgical section codes represent the vast majority of procedures reported in an inpatient setting. Medical and surgical procedure codes have a first character value of "0". The 2nd character indicates the general body system (e.g., gastrointestinal).

What is the first character of a procedure code?

Obstetrics procedure codes have a first character value of “1”. The second character value for body system is Pregnancy . The root operations Change, Drainage, Extraction, Insertion, Inspection, Removal, Repair, Reposition, Resection and Transplantation are used in the obstetrics section, and have the same meaning as in the medical and surgical section.

What is the code for extracorporeal therapy?

6 - Extracorporeal or Systemic Therapies. In extracorporeal therapy, equipment outside the body is used for a therapeutic purpose that does not involve the assistance or performance of a physiological function. Extracorporeal therapy procedure codes have a first character value of “6”.

What is the code for physical rehabilitation?

Physical rehabilitation section codes represent procedures including physical therapy, occupational therapy and speech-language pathology. Osteopathic procedures and chiropractic procedures are in sections 7 and 9 respectively. Physical rehabilitation and diagnostic audiology procedure codes have a first character value of “F”. The second character specifies the section qualifier Rehabilitation or Diagnostic Audiology. The third character specifies the root type.

What is section code 3?

3 - Administration. Administration section codes represent procedures for putting in or on a therapeutic, prophylactic, protective, diagnostic, nutritional or physiological substance. Administration procedure codes have a first character value of “3”.

What is the first character value of extracorporeal assistance and performance procedure codes?

Extracorporeal assistance and performance procedure codes have a first character value of “5”. The second character value for body system is physiological systems.

What is the second character value for body systems?

Codes in this section have a first character value of “8”. The second character value for body system is physiological systems and anatomical regions.

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.

What is the second character in ICd 10?

Mental Health procedure codes have a first character value of "G". The second character is used to identify the body system elsewhere in ICD-10-PCS. Because body system does not apply in this section, the second character always has the value None. The third character specifies the root type, such as crisis intervention or counseling. The fourth character is a type qualifier (e.g., to indicate that counseling was educational or vocational). The fifth, sixth and seventh characters are not specified and always have the value None.

What is the administration section code?

Administration section codes represent procedures for putting in or on a therapeutic, prophylactic, protective, diagnostic, nutritional or physiological substance. Administration procedure codes have a first character value of "3". The body system character contains three values: circulatory system, indwelling device, and physiological systems and anatomical regions. The circulatory body system is used for transfusion procedures.

What is the first character of radiation oncology?

Radiation oncology procedure codes have a first character value of "D ". The second character specifies the body system (e.g., central nervous, musculoskeletal) irradiated. The third character root type specifies the general modality used (e.g., beam radiation) and the fifth character further specifies the radiation modality used (e.g., photons, electrons). The fourth character specifies the body part that is the focus of the radiation therapy. The sixth character specifies the isotopes introduced into the body, if applicable, or whether the beam used is a gamma beam or other photon. The seventh character is not specified in the radiation oncology section, and always has the value None.

What is the first character value of extracorporeal assistance and performance procedure codes?

Extracorporeal assistance and performance procedure codes have a first character value of "5 ". The second character value for body system is physiological systems.

What is the first character of an osteopathic procedure code?

Osteopathic procedure codes have a first character value of "7". The body system character contains the value anatomical regions. There is only one root operation in the osteopathic section.

What is the second character value for body systems?

Codes in this section have a first character value of "8". The second character value for body system is physiological systems and anatomical regions.

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