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The Nuclear Medicine section consists of 463 codes. The first character for the Nuclear Medicine section is C. The second character specifies the body system and the third character, root type, indicates the type of nuclear medicine procedure.
The third character root type indicates the type of nuclear medicine procedure (e.g., planar imaging or non-imaging uptake). Introduction of radioactive materials into the body for the study of body fluids and blood elements, by the detection of radioactive emissions
ICD-10-PCS has a 7 character alpha-numeric code structure that provides a unique code for all substantially different procedures, and allows new procedures to be incorporated as new codes. All procedures currently performed can be specified in ICD-10-PCS.
Therapeutic radiation procedure codes are in a separate radiation oncology section. Nuclear medicine section codes represent procedures that introduce radioactive material into the body in order to create an image, to diagnose and treat pathologic conditions, or to assess metabolic functions.
Osteopathic: Section Value 7 The Osteopathic section is one of the smallest sections in ICD-10-PCS with only a single body system, Anatomic Regions, and a single root operation, Treatment.
ICD-10-PCS Root OperationsRoot operations that take out some/all of a body part.Root operations that take out solids/fluids/gasses from a body part.Root operations involving cutting or separation only.Root operations that put in/put back or move some/all of a body part.More items...
The third character of ICD-10-PCS defines the root operation. Some other examples of root operations are Bypass, Drainage, and Reattachment etc. When used in the third character of the code, the value B represents Excision.
Root operations that put in/put back or move some/all of a body part include Transplantation, Reattachment, Transfer, and Reposition. Root operations that alter the diameter/route of a tubular body part include Restriction, Occlusion, Dilation, and Bypass.
The ICD-10-PCS definition provided in the 2013 ICD-10-PCS Reference Manual for the root operation Division is “Cutting into a body part without draining fluids and/or gases from the body part in order to separate or transect a body part.” Division is coded when all or a portion of the body part is separated into two or ...
Root Operation C: Extirpation The definition for the root operation Extirpation provided in the 2013 ICD-10-PCS Reference Manual is “Taking or cutting out solid matter from a body part.” The solid matter contained in the definition may be an abnormal byproduct of a biological function or a foreign body.
Examples: Herniorrhaphy using mesh, free nerve graft, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement. The body part transferred remains connected to its vascular and nervous supply.
Root Operation “Resection” This root operation would be selected when the physician removes all of a body part without replacement. When resection of an organ is completed, no portion of that specific organ is left behind.
Biopsy procedures are coded using the root operations Excision, Extraction, or Drainage and the qualifier Diagnostic. The qualifier Diagnostic is used only for biopsies. Examples: Fine needle aspiration biopsy of lung is coded to the root operation Drainage with the qualifier Diagnostic.
31 root operationsThe medical and surgical procedure section of ICD-10-PCS contains most (but not all) procedures typically coded and reported in the hospital inpatient setting. There are 31 root operations in this section.
Reattachment-Root Operation M Procedures coded to the reattachment root operation include putting back a body part that has been cut off or avulsed. In the performance of a reattachment procedure the nerves and blood vessels may or may not be reconnected.
When a urinary calculus is broken up, such as with extracorporeal shockwave lithotripsy, the root operation assigned is: fragmentation.
Nuclear medicine section codes represent procedures that introduce radioactive material into the body in order to create an image, to diagnose and treat pathologic conditions, or to assess metabolic functions.
The second character specifies the body system on which the nuclear medicine procedure is performed. The third character root type indicates the type of nuclear medicine procedure (e.g., planar imaging or non-imaging uptake). The fourth character indicates the body part or body region studied.
C0 - Central Nervous System. C01 - Planar Nuclear Medicine Imaging.
The nuclear medicine section does not include the introduction of encapsulated radioactive material for the treatment of cancer. These procedures are included in the radiation oncology section. Nuclear medicine procedure codes have a first character value of "C".
ICD-10-PCS has a 7 character alpha-numeric code structure that provides a unique code for all substantially different procedures, and allows new procedures to be incorporated as new codes. All procedures currently performed can be specified in ICD-10-PCS.
Nuclear medicine section codes represent procedures that introduce radioactive material into the body in order to create an image, to diagnose and treat pathologic conditions, or to assess metabolic functions. The nuclear medicine section does not include the introduction of encapsulated radioactive material for the treatment of cancer. These procedures are included in the radiation oncology section. Nuclear medicine procedure codes have a first character value of “C”. The second character specifies the body system on which the nuclear medicine procedure is performed. The third character root type indicates the type of nuclear medicine procedure (e.g., planar imaging or non-imaging uptake).
6 - Extracorporeal or Systemic Therapies. In extracorporeal therapy, equipment outside the body is used for a therapeutic purpose that does not involve the assistance or performance of a physiological function. Extracorporeal therapy procedure codes have a first character value of “6”.
Extracorporeal assistance and performance procedure codes have a first character value of “5”. The second character value for body system is physiological systems.
Measurement and monitoring procedure codes have a first character value of “4”. The second character value for body system is either physiological systems or physiological devices.
Placement section codes represent procedures for putting an externally placed device in or on a body region for the purpose of protection, immobilization, stretching, compression or packing. Placement procedure codes have a first character value of “2”.
The Medical and Surgical section codes represent the vast majority of procedures reported in an inpatient setting. Medical and surgical procedure codes have a first character value of "0". The 2nd character indicates the general body system (e.g., gastrointestinal). The first through fifth characters are always assigned a specific value, ...
The Nuclear Medicine section consists of 463 codes. The first character for the Nuclear Medicine section is C. The second character specifies the body system and the third character, root type, indicates the type of nuclear medicine procedure.
The Radiation Therapy section consists of 1,939 codes. The first character value for the Nuclear Medicine section is D. The second character of a code from this section specifies the body system. The third character is the root type and defines the treatment modality. The fourth character specifies the radiation treatment site. The fifth character further defines the treatment modality and the sixth character identifies the presence of any isotopes introduced into the body. The seventh character identifies whether or not the procedure was performed intraoperatively.
Character three imaging root types consist of the following five procedures: 1 Plain Radiography: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate. 2 Fluoroscopy: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radiation on a fluorescent screen. The image may also be stored by either digital or analog means. 3 Computerized Tomography (CT Scan): Computer-reformatted digital display of multiplanar images developed from the capture of multiple exposures of external ionizing radiation. 4 Magnetic Resonance Imaging (MRI): Computer-reformatted digital display of multiplanar images developed from the capture of radio-frequency signals emitted by nuclei in a body site excited within a magnetic field. 5 Ultrasonography: Real time display of images of anatomy or flow information developed from the capture of reflected and attenuated high frequency sound waves.
Nuclear medicine offers a unique ability to provide information about both the structure and function of every major organ system within the body. The ability to characterize and quantify physiologic function is what separates nuclear medicine from other types of imaging modalities. 1
Some of the Ancillary section character definitions differ from other sections, such as the Medical and Surgical section. For example, the Ancillary sections do not include root ...
The Physical Rehabilitation and Diagnostic Audiology section consists of 1,380 codes and classifies procedures by treatment, assessment, fitting (s), and caregiver training. The Physical Rehabilitation section represents physical therapy, occupational therapy, and speech-language pathology procedures.
The following are two examples of coding for physical rehabilitation and diagnostic audiology in ICD-10-PCS.
The following is an example of coding for the Mental Health section of ICD-10-PCS.
The following are two examples of coding for Substance Abuse Treatment in ICD-10-PCS.
The Mental Health section consists of 30 codes and classifies procedures by crisis intervention, family psychotherapy, and biofeedback. The first character for the mental health section is G. Since the body system doesn’t apply in this section, the second character is assigned the value Z, none.
The Substance Abuse Treatment section consists of 59 codes and classifies treatment by detoxification, counseling, and pharmacotherapy. The first character for the substance abuse section is H. Similar to the Mental Health section, the second character, body system, doesn’t apply for this section and is assigned the value Z, none.
Barta, Ann et al. 2014 ICD-10-PCS Coder Training Manual: Instructor’s Edition. Chicago, IL: AHIMA Press, 2013.