December 21, 2022

Refer to the “ICD 10 -PCS Official Guidelines for Coding and Reporting” and go to the “Medical and Surgical Section Guidelines”. All of these guidelines begin with a “B”.

From the “B” guidelines choose two guidelines and do the following for each guideline you chose:

Read the guideline to yourself and read about it in your textbook if that guideline is there. If it’s not found in your textbook, Google the guideline to understand it further.

State the Official Guideline along with the guideline id (See Attached Example of an Initial Post).

Next, re write the guideline in your own words that make sense to you and as you would write it to instruct your classmates. You can do this in either a written format or a power point format.

Provide an example of a code based on the guideline and give the full code description….for each guideline chosen.

Organize your information so that it is reader friendly, organized, and makes the information clear. (Example: Use bullets or separate your information with “white space” and don’t use sentences run together in one paragraph.)

HIM1126 ICD-PCS Coding

Module 6 Discussion

In order to do this Discussion Post, you will need to have read the following three articles:

ARTICLE eHIM Professionals Wanted.pdf Click for more options

ARTICLE Inpatient Coding as a Career.docx Click for more options

ARTICLE Opportunity Knocks.pdf Click for more options

Based on the information you read, write a post that includes the following information for each article you read:

What new information did you discover in the article?

What surprised you or did not surprise you as you read the article?

Indicate whether or not there was any mention of credentialing or education requirements given in the article?

(Note: this is not referencing the credentials of the individuals writing the articles or mentioned in the articles.)

Identify the article by title as you are responding to the questions.

HIM1126 ICD-PCS Coding

Module 1 Coding Worksheet

1. Refer to the 0HH table in your code book. Which of the following is an invalid PCS code?

a. 0HHPXYZ

b. 0HHT71Z

c. 0HHT0ZZ

d. 0HHW3NZ

2. Which approach value is selected for a laparoscopic appendectomy?

a. 0- open

b. 3- percutaneous

c. 4- percutaneous endoscopic

d. 8- via natural or artificial opening endoscopic

3. Which coding guideline describes the body part values for bypass procedures?

a. B3.4a

b. B3.6a

c. B3.7

d. B3.11a

4. Using the coding table below, choose the code for a Bronchoscopy. (Be sure you know how a Bronchoscopy is done and what body part is involved.)

? 0BJ14ZZ

? 0BJ08ZZ

? 0BJ04ZZ

? 0BJ07ZZ

0 Medical and Surgical

BRespiratory System

JInspection

Body Part

Character 4

Approach

Character 5

Device

Character 6

Qualifier

Character 7

0 Tracheobronchial Tree

1 Trachea

K Lung, Right

L Lung, Left

Q Pleura

T Diaphragm

0 Open

3 Percutaneous

4 Percutaneous Endoscopic

7 Via Natural or Artificial Opening

8 Via Natural or Artificial Opening, Endoscopic

X External

Z No device

Z No Qualifier

5. Using the coding table below, choose the code for Mediastinoscopy. (Be sure you know what this procedure is and what body part is involved.)

?0WJCXZZ

?0WJC4ZZ

?0WJQ7ZZ

?0WJ80ZZ

0 Medical and Surgical

W Anatomical Regions, General

J Inspection

Body Part

Character 4

Approach

Character 5

Device

Character 6

Qualifier

Character 7

0 Head

2 Face

3 Oral Cavity and Throat

4 Upper Jaw

5 Lower Jaw

6 Neck

8 Chest Wall

F Abdominal Wall

K Upper Back

L Lower Back

M Perineum, Male

N Perineum, Female

0 Open

3 Percutaneous

4 Percutaneous Endoscopic

X External

Z No device

Z No Qualifier

1 Cranial Cavity

9 Pleural Cavity, Right

B Pleural Cavity, Left

C Mediastinum

D Pericardial Cavity

G Peritoneal Cavity

H Retroperitoneum

J Pelvic Cavity

0 Open

3 Percutaneous

4 Percutaneous Endoscopic

Z No device

Z No Qualifier

P Gastrointestinal Tract

Q Respiratory Tract

R Genitourinary Tract

0 Open

3 Percutaneous

4 Percutaneous Endoscopic

7 Via Natural or Artificial Opening

8 Via Natural or Artificial Opening, Endoscopic

Z No device

Z No Qualifier

Code the following procedure statements using ICD 10 PCS codes.

One code is required for each statement. Each code is worth one point.

6.Laryngoscopy with removal of polyps on the left vocal cord ______________

7. Laparoscopic cholecystectomy (entire gallbladder removed) _______________

8. A patient with undescended testes has an open bilateral orchiopexy _____________

9. Percutaneous control of bleeding at operative site after a procedure done on the right lower arm ____________

10. Repair of sclera, right eye ________

HIM1126 ICD-PCS Coding

Module 2 Coding Worksheet

HIM1126Cfw ICD 10 PCS Module 02 Coding Worksheet

1. Use the following documentation to fill in the blanks given below: “A colostomy was performed from the sigmoid colon all the way to the abdominal wall.” Fill in the blank with the written description of the character value, not the letter or number.

A. The section is ___________________

B. The body system is _______________

C. The root operation is ______________

D. The body part is __________________

E. The approach is __________________

F. The device is _____________________

G. The qualifier is ___________________

2. Locate the table 0WU in your code book and finish building the code for the following documentation: “A laparoscopic ventral hernia repair with Paritex mesh.”

Complete the last four characters of the code. 0WU_____________

Code the following nervous system procedure statements using ICD 10 PCS codes.

One code is required for each statement. Each code is worth one point.

3. Carpal tunnel release, right, percutaneous endoscopic approach

4. Neurorrhaphy of tibial nerve, left, open approach

5. Mapping of the cerebellum , open approach

6. Suture ulnar nerve, left, open approach

7. Diagnostic excisional biopsy of a facial nerve tumor, open approach

8. Removal of bullet fragment from facial nerve, open

9. Spinal cordotomy, thoracic, open approach

10. Replacement of drainage tube of burr hole (into brain)

HIM1126 ICD-PCS Coding

Module 3 Coding Worksheet

HIM1126Cfw Module 03 Coding Worksheet

Code the following procedures. The first 15 are brief statements of documentation worth 1 point for each code. Each statement requires one code. The last 3 are case studies and are worth five points each. Partial credit for in codes in the case studies may be given at the discretion of the instructor. There is a total of 30 points possible. Place your answers in this word document and submit to the drop box when complete.

1. Open excision of the entire right axillary lymph node chain. The PCS code for this procedure is: ___________.

2. Bone marrow aspiration biopsy obtained via needle from posterior iliac crest, left side. The PCS code for this procedure is: _____________.

3. Repair of laceration sclera of right eye. The PCS code for this procedure is: _____________.

4. A patient has a bronchoscopy for diagnostic purposes. The PCS code for this procedure is: ________.

5. A patient had a gastroscopy done for diagnostic purposes.The PCS code for this procedure is: ________.

6. A patient had an open colostomy performed from the descending colon to the abdominal wall. The PCS code for this procedure is: _________________

7. The patient had the distal portion of the right lower (inferior) parathyroid removed using an open approach. The PCS code for this procedure is: _______________.

8. A patient had a portion of the pancreas removed for biopsy via FNA (fine needle aspiration). The PCS procedure code for this procedure is: ___________.

9. A mitral valve replacement is done using a porcine valve via a sternotomy. The PCS code for this procedure is: ___________.

10. Harvesting of the right internal mammary artery (to be used for a graft), open approach. The PCS code for this procedure is: __________.

HIM1126 ICD-PCS Coding

Module 4 Coding Worksheet

1. Removal of foreign body from third metatarsal joint left foot, open approach. Click here to enter text.

2. Incision and drainage of abscess, ankle joint, right. Click here to enter text.

3. Percutaneous biopsy of right gastrocnemius muscle. Click here to enter text.

4. Open repair of ruptured right deltoid muscle. Click here to enter text.

5. Open reduction of a displaced right pisiform fracture. Click here to enter text.

6. Left reverse shoulder replacement, metal on polyethylene. Click here to enter text.

7. Left ureter surgically ligated to prevent further hemorrhage, open approach. Click here to enter text.

8. Extracorporeal shock wave lithotripsy (ESWL) of large bladder stone. Click here to enter text.

9. Retropubic total prostatectomy. Click here to enter text.

10. Laparoscopic bilateral tubal ligation using Falope ring. Click here to enter text.

HIM1126 ICD-PCS Coding

Module 5 Coding Worksheet

Code the following procedures. The first 15 are brief statements of documentation to code for 1 point each. The last 3 are case studies and are worth five points each. Partial credit for in codes in the case studies may be given at the discretion of the instructor. There is a total of 30 points possible. Place your answers in this word document and submit to the drop box when complete.

1. Insertion of a monitoring electrode for the baby’s heartbeat into the mother via a natural opening. ________

2. The nurse changed the monitoring electrode for the products of conception via a natural opening. _________

3. Acupuncture through skin of right arm, without anesthesia_______

4. Amniocentesis for diagnostic purposesdone using a percutaneous approach. ______

5. Low dose rate brachytherapy to testes using Iridium ________

6. Patient presented to the ER with a non-displaced fracture of the left radius. The ER physician applied a cast to the patient’s left arm.________

7. The patient was kept on a ventilator for 31 hours after surgery and then extubated. (Code only the ventilation.) _________

8. CPR (Cardiopulmonary Resuscitation) was performed on the patient using defibrillation. _________

9. A patient with ESRD (End Stage Renal Disease) received dialysis. The dialysis was performed once during the hospital stay for four hours. _______

10. A patient with suspected obstructive sleep apnea completed a 48 hr. sleep study _________

HIM1126 ICD-PCS Coding

Module 1 Coding Quiz

Question 1 ICD-10-PCS is the HIPAA mandated code set for reporting:

Question 2 If the intended procedure is discontinued before the intended root operation is performed, which root operation is used for coding the initiation of the procedure without completing the procedure?

Question 3 The total number of characters in an ICD-10-PCS code is:

Question 4 The number of root operations available to use in the Medical and Surgical section of the code book only is:

Question 5 If the physician documents “partial resection of the stomach”, the coder should:

Question 6 If a resection (removal) of a joint is performed first and then a joint replacement is performed as one procedure, the coder should code:

Question 7If multiple tubular body parts are inspected, the coder must:

Question 8When a physician performs a cystoscopy which is done by making a small incision to insert a scope, the approach for this procedure is:

Question 9When building an ICD 10 PCS code, the first step (after reading the documentation and making sure you understand all terms) to building the most accurate code is to:

Question 10 Devices in the Medical and Surgical section are depicted in the code by character:

HIM1126 ICD-PCS Coding

Module 2 Coding Quiz

Question 1 A patient is seen for elective sterilization and the physician performs a vasectomy by ligating the vas deferens, then removing a portion of the vas deferens. The root operation is:

Question 2When a specific branch of a body part does not have its own body part value in ICD-10-PCS, the body part is coded to:

Question 3 The ICD-10-PCS code for “Neurotripsy of the dura mater through an open incision” is:

Question 4The inspection of a body part(s) is considered integral to the procedure that is performed and the root operation Inspection is NOT coded separately when:

Question 5 In ICD-10-PCS, the brain, brain meninges, and the spinal cord are classified as part of the __________ nervous system.

Question 6 When a fusion procedure is performed at L1-L4, the body part selected for character 4 is:

Question 7Which root operation often has a qualifier used in the code to indicate a biopsy was done for diagnostic purposes?

Question 8If the patient has an amputation of a supernumerary digit and it contains bone and soft tissue, the root operation ___________________ is selected.

Question 9 When a coronary artery bypass procedure involves the use of an internal mammary artery, the device value used for character 6 is “Z” which means “no device” because the internal mammary artery is:

Question 10If the patient has an amputation of a supernumerary digit and it contains only soft tissue and no bone, the root operation of __________________ is selected.

HIM1126 ICD-PCS Coding

Module 3 Coding Quiz

Question 1 This device value is used to indicate when the physician has inserted a “nasal trumpet”. This is when a nasopharyngeal airway is inserted through one nostril to create an air passage between the nose and the nasopharynx.

Question 2The duodenum is part of the small intestine and part of the gastrointestinal tract.

Question 3 If a polyp is removed by colonoscopy from the sigmoid colon, the root operation is?

Question 4 If an Adenoidectomy is performed via coblation, the root operation is?

Question 5 The physician removed the ocular lens without any replacement. The root operation is:

Question 6 If a lobe of the lung is removed in a procedure, the root operation is:

Question 7 In the “Ear, Nose, and Sinus” body system, there are many procedures that involve cosmetic surgery. The root operation for these procedures would be:

Question 8 The superior lobe of the lung is also known as the ______ lobe. The intermediate lobe is also known as the ______ lobe and the inferior lobe is also known as the ______ lobe of the lung.

Question 9: Approaches used in a procedure involving the Lymphatic System and not involving a device within the Lymphatic System are:

Question 10 An ENT physician performed a myringotomy with insertion of PE tubes into the ears. The root operation for this procedure is:

HIM1126 ICD-PCS Coding

Module 4 Coding Quiz

Question 1A Fallopian Tube Ligation procedure is an example of which of the following Root Operations?

Question 2 What is the root operation used for a tenolysis (not a tenodesis)?

Question 3Procedures on the female reproductive system that involve or in some way impact the fetus (also called the Products of Conception in PCS) are then coded to the Obstetrics Section. If a procedure is conducted on the female reproductive system and does not involve or impact the fetus, then the procedure is coded to the Medical Surgical Section.

Question 4 When free skin grafts of both epidermal and dermal layers are performed on the skin and breast, they are coded using the qualifier value in character 7 of what?

Question 5 The root operation for a procedure where all or a portion of the body part is separated into two or more portions?

Question 6 Excisional debridement that includes skin, subcutaneous tissue, and down to the muscle is coded using what body part per coding guidelines?

Question 7If a procedure is performed on a device only for the repair of the device while still in the body, there is only one root operation available to use and that is Revision.

Question 8 What type of devices are a monoplanar device, a uniplane device, a limb lengthening device, and a ring device?

Question 9 The male urethra is classified to the reproductive organ of the penis in ICD 10 PCS coding.

Question 10 The root operation used when the objective of the procedure is to cut into, transect, or separate all or a portion of the body part is?

HIM1126 ICD-PCS Coding

Module 5 Coding Quiz

Question 1 Which root operation has the definition “taking over a portion of a physiological function by extracorporeal means”?

Question 2 What is the method of osteopathic treatment that uses gentle, larger mobilization movements to relieve tension?

Question 3 What is the root type used in the Physical Rehabilitation and Diagnostic Audiology section when training in activities to support patient’s optimal level of function are conducted?

Question 4 When a patient has an epistaxis (nosebleed) and a balloon or other material is used for stopping the bleeding, the root operation is:

Question 5 What method of osteopathic treatment uses force quickly applied to a discrete area? (This is commonly called a thrusting or popping technique.)

Question 6 When a vaginal delivery with manual help of the physician is done, the root operation assigned is:

Question 7 When coding a cesarean section, the approach assigned is:

Question 8 What modality is used in the Radiation Oncology section that involves the use of a single treatment of high dose radiation on tumors with a volume of less than 20 cm?

Question 9 In the Nuclear Medicine section, the 6 th and 7 th characters are always:

Question 10 Total mechanical ventilation, cardiac pacing, and cardiopulmonary bypass are examples of which root operation?

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Refer to the “ICD 10 -PCS Official Guidelines for Coding and Reporting” and go to the “Medical and Surgical Section Guidelines”. All of these guidelines begin with a “B”.

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