Quiz and Study Notes: ICD-10-PCS (Procedure Coding System)
🔍 Purpose of ICD-10-PCS
ICD-10-PCS is used exclusively for inpatient hospital procedures in the U.S.
It provides a standardized system for reporting medical, surgical, and therapeutic procedures.
Unlike ICD-10-CM (diagnoses), PCS codes describe what was done to the patient.
đź§© Key Concepts
1. Structure of ICD-10-PCS Codes
Each code is 7 characters long, with no decimals.
Each character represents a specific aspect of the procedure.
Character Meaning
1 Section (e.g., Medical/Surgical)
2 Body System
3 Root Operation
4 Body Part
5 Approach
6 Device
7 Qualifier
Example:
0FB03ZX
0 = Medical/Surgical
F = Hepatobiliary System
B = Excision
0 = Liver
3 = Percutaneous
Z = No device
X = Diagnostic
2. Sections
Most common: Medical and Surgical (0)
Others include:
Imaging (B)
Rehabilitation (F)
Mental Health (G)
Substance Abuse Treatment (H)
3. Root Operations
Define the objective of the procedure.
Examples:
Excision: Cutting out part of a body part
Resection: Cutting out all of a body part
Drainage: Removing fluids
Insertion: Putting in a device
Replacement: Putting in a device that replaces a body part
Fusion: Joining body parts together
4. Approach Types
Open: Incision through skin and tissue
Percutaneous: Through the skin using a needle or catheter
Via Natural or Artificial Opening: Through mouth, nose, etc.
5. Device and Qualifier
Device: Indicates if a prosthesis, implant, or other device was used.
Qualifier: Adds detail (e.g., diagnostic intent, anatomical variation).
📝 Practice Quiz (15 Questions + Answers)
1. What does ICD-10-PCS stand for? Answer: International Classification of Diseases, 10th Revision, Procedure Coding System
2. How many characters are in an ICD-10-PCS code? Answer: 7 characters
3. What does the first character in a PCS code represent? Answer: Section (e.g., Medical/Surgical)
4. What is the difference between excision and resection? Answer: Excision removes part of a body part; resection removes all of it
5. Which approach involves entering through the skin with a needle? Answer: Percutaneous
6. What does the root operation “fusion” mean? Answer: Joining body parts together
7. What section code is used for imaging procedures? Answer: B
8. What does the fifth character in a PCS code represent? Answer: Approach
9. What does the sixth character in a PCS code represent? Answer: Device
10. What does the seventh character in a PCS code represent? Answer: Qualifier
11. Which root operation involves putting in a device that replaces a body part? Answer: Replacement
12. What is the root operation for removing fluid from a body part? Answer: Drainage
13. What is the PCS code section for mental health procedures? Answer: G
14. Why are ICD-10-PCS codes used only in inpatient settings? Answer: They are designed for detailed documentation of hospital procedures
15. What is the purpose of the qualifier in a PCS code? Answer: To provide additional detail about the procedure
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