FORMAT OF ICD-10-PCS CODING MANUAL

THE ICD-10-PCS CODING MANUAL CONTAINS TWO SEPARATE PARTS:

INDEX

TABLES

THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) ALSO PUBLISH THE FOLLOWING REFERENCE ADDENDA:

EDITS MADE TO THE CURRENT YEARS DEFINITION, INDEX, AND TABLES

ICD-10-PCS CONVERSION TABLE

ICD-10-PCS CODES FILE

GENERAL EQUIVALENCE MAPPINGS

ICD-10-PCS OFFICIAL GUIDELINES FOR CODING AND REPORTING

BUILD-A CODE- USING ICD-10-PCS.

STEP 1: AFTER IDENTIFYING THE NAME OF THE PROCEDURE PERFORMED IN THE OPERATIVE REPORT, LOCATE THE MAIN TERM IN THE ICD-10-PCS INDEX

STEP 2: AFTER FOLLOWING ANY INSTRUCTIONAL NOTES (E.G.SEE) PRESENT AFTER A MAIN TERM, LOCATE THE APPROPRIATE MAIN TERM, SUBTERM, AND QUALIFIER TO IDENTIFY THE FIRST 3 OR 4 VALUES OF A 7-CHARACTER CODE

STEP 3: LOCATE THE ICD-10-PCS TABLE THAT CORRESPONDS TO THE FIRST 3 VALUES OF A 7-CHARACTER CODE, REVIEW THE PROCEDURE PERFORMED TO ASSIGN A CHARACTER TO EACH POSITION IN THE COMPLETE 7-CHARACTER CODE

GENERAL EQUIVALENCE MAPPINGS (GEMs) TRANSLATION DICTIONARIES OR CROSSWALKS OF CODES THAT CAN BE USED TO ROUGHLY IDENTIFY ICD-10-CM CODES FOR THEIR ICD-9-CM EQUIVALENT CODES. FACILITATES THE LOCATION OF CORRESPONDING DIAGNOSIS CODES BETWEEN TWO CODE SETS. THE CORRELATION BETWEEN CODES IS CLOSE, AND SINCE THE TWO CODE SETS SHARE THE CONVENTIONS OF ORGANIZATION AND FORMATTING COMMON TO BOTH REVISIONS OF ICD.

MET119- CHAPTER 2

CLASS ASSIGNMENT- COMPLETE EACH STATEMENT BELOW

1. ICD-10-CM WAS DEVELOPED TO CODE AND CLASSIFY __________________ DATA FROM INPATIENT AND OUTPATIENT RECORDS, INCLUDING PHYSICIAN OFFICE RECORDS

2. GENERAL EQUIVALENCE MAPPINGS ARE TRANSLATION DICTIONARIES OR __________________ OF CODES

3. WHICH ORGANIZATION PUBLISHES THE ICD-10-CM OFFICIAL GUIDELINES FOR CODING AND REPORTING? ___________________________

4. USING BOTH THE ICD-10-CM INDEX AND TABULAR LIST WHEN ASSIGNING CODES RESULTS IN __________________________

5. WHEN A RESIDUAL EFFECT IS DOCUMENTED AFTER THE ACUTE PHASE OF INJURY OR ILLNESS HAS ENDED, A CODE FOR THE ______________________ CONDITION IS SEQUENCED FIRST.

HOMEWORK- DEFINE THE BELOW AND GIVE AN EXAMPLE OF HOW IT WOULD BE USED IN HEALTHCARE

1. ICD-10-PCS

2. ICD-10-CM