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37 Cards in this Set
- Front
- Back
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Will there ever be a ICD-10-PCS code with less than 7 characters? |
No
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What letters are not used in ICD-10-PCS codes? |
I and O |
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If you are deciding if upper or lower body part, what part of the body is the deciding factor? |
The diaphragm |
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Do all the tables in ICD-10-PCS account for laterality? |
No |
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What would you do if you need to code bilateral procedures? |
Code both sides if bilateral is not available |
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What is the difference in approach via natural or artificial opening endoscopic and via natural or artificial opening with percutaneous endoscopic assistance? |
An incision is made as well as the endoscope going in via natural or artificial opening |
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If no device is present in a procedure what character do you use? |
Z, the device key is in the coding book, appendix D
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For the device term "cardiac event recorder", what is the device you should correspond to in the ICD-10-PCS code book? |
Monitoring device |
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For the device term "cystostomy tube", what is the device you should correspond to? |
Drainage device |
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For the device term "holter valve ventricular shunt", what is the device you should correspond to? |
Synthetic substitute |
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If you dont understand what the qualifier means, where should you reference it in the code book? |
Appendix E |
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Appendix F covers the approach definitions, appendix G covers character meanings, appendix H is the answer key to coding exercises in the front of the book and appendix I covers illustrations. |
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In appendix C what body part is used for axillary nerve? |
Brachail plexus
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What would be used in the table for cricoid cartilage? |
Larnyx |
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Code the removal of right rib.... |
Root is resection (cutting out or off w/o replacement all of a body part), right rib, code is 0PT10ZZ |
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Code an EGD (esophagogastroduodenoscopy)... |
Root is inspection, EGD code is 0DJ08ZZ |
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Code inspection of stomach via natural or artificial opening endoscopic... |
The code is 0DJ68ZZ |
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Code inspecting the peritoneum percutaneous... |
The code is 0DJW3ZZ |
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Code occlusion of stomach via natural or artificial opening, intraluminal device..... |
The code is 9DL67DZ |
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Code a gastroscopy... |
The approach would be percutaneous endoscopic, so the code would be an 8 |
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Artificial approach is going thru a -stoma or -ostomy. Laparascope has to have an incision or opening. Gastroscopy is via natural or artificial opening
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What is the first thing you should do when trying to find a ICD-10-PCS code? |
Locate the main term in the alphabetic index, if you have problems there look for the root operation. |
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Once you find the code in the alpha index then what do you do? |
Follow the table to find all the 7 digits |
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Code an open reduction fracture of the right tibia.... |
Reduction says see reposition, tibia, right so the code is 0QSG0ZZ. |
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What is a significant procedure? |
1. Is surgical in nature 2. Carries an anesthetic risk 3. Carries a procedural risk 4. Requires specialized training |
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Hospitals/clinics use CPT/HCPS procedure codes for outpatient procedures |
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If a procedure is discontinued (they didnt finish the procedure) before a root operation is performed, what is coded? |
A failed outcome of a procedure is still coded because it was performed, you code the extent that the procedure was done. |
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Code a left partial masectomy, open...... |
Masectomy tells you to see excision (not removing all of the body part), the code is 0HBU0ZZ |
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Remember, all the types of footnotes in the code book are under conventions in the front of the book |
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Code the reattachment of a severed right hand... |
Reattachment is the main term, the code is 0XMJ0ZZ |
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Code mitral valve replacement using porcine tissue, open... |
Replacement is the main term, the device used is 8 for zooplastic (pig tissue), the code is 02RG08Z. |
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What is the meaning of the autologous tissue substitute? |
Tissue taken from the patient |
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What is the meaning of synthetic tissue substitute? |
Man-made tissue |
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What is the meaning of non-autologous tissue substitute? |
Tissue from another person (human) |
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Code laparoscopy with lysis of adhesions of bilateral ovaries and bilateral fallopian tubes... |
The main term is lysis which says see release, then ovary; release then fallopian tube. The codes are 0UN74ZZ and 0UN24ZZ. |
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Code endoscopic fulgration of sigmoid colon polyp... |
The main term is fulgration which says see destruction, the code is 0D5N4ZZ. |
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Code a repair, tendon, hand, left.... |
The code is 0LQ80ZZ |
