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Basic ICD-10-CM and ICD-10-PCS Coding > Chapter 2 - Introduction to ICD-10-PCS > Flashcards

Chapter 2 - Introduction to ICD-10-PCS Flashcards

1
Q

Which characters are not used in an ICD-10-PCS code and why?

A

The letters O and I. They are not used so as not to confuse them with the numbers 1 and 0.

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2
Q

What do the seven characters of an ICD-10-PCS code represent?

A 
Character 1 = Section of ICD-10-PCS
Character 2 = Body System
Character 3 = Root Operation
Character 4 = Body Part
Character 5 = Approach
Character 6 = Device
Character 7 = Qualifier

Characters 2 to 6 can sometimes have alternate meanings.

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3
Q

root operation (ICD-10-PCS)

A

the third character in a PCS code; it describes the intent or the objective of the procedure

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4
Q

What are the nine groups of root operations?

A
  1. Root operations that take out some or all of a body part
  2. Root operations that take out solids or fluids or gases from a body part
  3. Root operations involving cutting or separation only
  4. Root operations that put in or put back or move some or all of a body part
  5. Root operations that alter the diameter or route of a tubular body part
  6. Root operations that always involve a device
  7. Root operations involving examination only
  8. Root operations that define other repairs
  9. Root operations that define other objectives
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5
Q

fulguration

A

the destruction of small growths or areas of tissue using diathermy

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6
Q

diathermy

A

a medical and surgical technique involving the production of heat in a part of the body by high-frequency electric currents, to stimulate the circulation, relieve pain, destroy unhealthy tissue, or cause bleeding vessels to clot

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7
Q

What are the five root operations that take out some or all of a body part?

A

They are detachment, excision, destruction, extraction, and resection (DEDER).

  1. Detachment: Extremities only
  2. Excision: Some of a body part
  3. Destruction and Extraction: Some or all of a body part
  4. Resection: All of a body part
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8
Q

What are the three root operations that take out solids or fluids or gases from a body part?

A

They are drainage, extirpation, and fragmentation (DEF).

  1. Drainage: Takes or lets out fluids or gases
  2. Extirpation: Takes or cuts out solid matter
  3. Fragmentation: Breaks solid matter into pieces
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9
Q

What are the two root operations that involve cutting or separation only?

A

They are division and release.

Division involves cutting into or separating a body part.
Release involves freeing a body part from constraint.

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10
Q

What are the four root operations that put in or put back or move some or all of a body part?

A

They are transplantation, reattachment, transfer, reposition (TRTR).

  1. Transplantation: putting in a living body part from a person or animal
  2. Reattachment: putting back a detached body part
  3. Transfer: Moving to function for a similar body part
  4. Reposition: Moving to normal or other suitable location
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11
Q

What are the four root operations that alter the diameter or route of a tubular body part?

A

They are dilation, bypass, restriction, and occlusion (DBRO).

  1. Dilation: expanding an orifice or lumen
  2. Bypass: altering a route of passage
  3. Restriction: partially closing an orifice or lumen
  4. Occlusion: completely closing the orifice or lumen
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12
Q

lumen (anatomy)

A

the cavity of a tubular organ or part

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13
Q

What are the six root operations that always involve a device?

A

They are insertion, replacement, supplement, change, revision, and removal (IRSCRR).

  1. Insertion: putting in a non-biological device
  2. Replacement: Putting in a device that replaces a body part
  3. Supplement: Putting in a device that reinforces or augments a body part
  4. Change: Exchanging a device without cutting or puncturing
  5. Revision: Correcting a malfunctioning or displaced device
  6. Removal: Taking out a device
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14
Q

What are the two root operations that involve examination only?

A

They are inspection and map.
Inspection involves visual or manual exploration.
Map involves locating electrical impulses or functional areas in brain or heart

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15
Q

What are the two root operations that include other repairs?

A

They are repair and control.
Repair involves restoring a body part to its normal structure.
Control involves stopping or attempting to stop postprocedural bleeding.

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16
Q

What are the three root operations that include other objectives?

A

They are fusion, alteration, and creation (FAC).

Fusion involves rending a joint immobile.
Alteration involves modifying a body part for cosmetic purposes without affecting function.
Creation involves making new structures for a sex change operation.

17
Q

approach (ICD-10-PCS)

A

the technique used to reach the site of the procedure

18
Q

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

A

They are (O PP VVV E):

  1. open
  2. percutaneous
  3. percutaneous endoscopic
  4. via natural or artificial opening
  5. via natural or artificial opening endoscopic
  6. via natural or artificial opening endoscopic with percutaneous endoscopic assistance
  7. external
19
Q

open (approach)

A

cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

20
Q

percutaneous vs percutaneous endoscopic (approach)

A

Both are defined as: “Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and/or any other body layers necessary to reach the site of the procedure.”

The percutaneous approach is done without sight (e.g. needle biopsy), but the percutaneous endoscopic approach is done to see inside the site (e.g. laparoscopy).

21
Q

via natural or artificial opening
via natural or artificial opening endoscopic
via natural or artificial opening endoscopic with percutaneous endoscopic assistance
(approach)

A

All three involve the following definition: “Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure.”

Via natural or artificial opening just involves the basic definition of getting to the site without sight.
Via natural or artificial opening endoscopic involves using that opening to see inside the site.
Via natural or artificial opening endoscopic involves using that opening to see inside the site and also involves the assistance of a percutaneous endoscopic approach as well. Laparoscopic-assisted vaginal hysterectomy is the only procedure that uses this.

22
Q

external (approach)

A

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane.

23
Q

Summarize the four basic aspects of the seven approaches in ICD-10-CM?

A

The four basics aspects of the seven approaches are open, percutaneous, via natural or artificial opening, and external.

Open involves cutting to get somewhere, like with the surgery on my leg.

Percutaneous involves a puncture or tiny incision, like being stuck with a needle.

Via natural or artificial opening involves sticking something in a natural opening like the anus or an artificial opening like the hole used by a feeding tube.

External is on the skin, like lotion.

24
Q

What are the four general types of devices in ICD-10-PCS?

A
  1. Grafts and prostheses: biological/synthetic material that takes the place of all or a portion of a body part
  2. Implants: therapeutic material made of biological/synthetic material that is not absorbed by, eliminated by, or incorporated into a body part (e.g. tissue expander planted under the skin)
  3. Simple or mechanical appliances: therapeutic biological/synthetic material that assists or prevents a physiological function (e.g. tracheostomy airway device, i.e. neck breathing tube like that used by smokers)
  4. Mechanical or electronic appliances: appliances used to assist, monitor, take the place of, or prevent a physiological function (e.g. pacemaker)
25
Q

What are the three types of implants?

A

Allogeneic: implant of a living organ taken from a different individual of the same species
Syngeneic: transplant from a genetically identical person (e.g. identical twin)
Zooplastic: transfer of living tissue to humans from an animal of another species

Basic ICD-10-CM and ICD-10-PCS Coding (5 decks)

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