Section : Character 1 Refers to a broad procedure category or section where the code is found; ICD-10-PCS is divided into 16 sections relating to the general type of prodedure Body System : Character 2
There are seven positions or characters in a code and each character describes a specific aspect of the procedure Identifies the section of the code book in which the procedure is listed. There are 16 sections (See your code book)
T HE INTERNATIONAL CLASSIFICATION OF DISEASES Tenth Revision Procedure Coding System (ICD-10-PCS) is a new sys- tem for coding inpatient procedures, developed for the Centers for Medicare and Medicaid Services (CMS). This manual is written as a general introduction for data manag- ers, payers, administrators, and medical record coders.
The first character decides the broad procedure category or section where the code appears. In this example, 0 is the Medical and Surgical section in the first character. The second character defines the body system. Body system refers to the general physiological system or anatomical region where the health care provider did the procedure.
34 possible valuesICD-10-PCS has a seven character alphanumeric code structure. Each character contains up to 34 possible values.
seven-ICD-10-CM is a seven-character, alphanumeric code. Each code begins with a letter, and that letter is followed by two numbers. The first three characters of ICD-10-CM are the “category.” The category describes the general type of the injury or disease.
Medical and surgical procedure codes have a first character value of “0”. The second character indicates the general body system (e.g., gastrointestinal). The third character indicates the root operation, or specific objective, of the procedure (e.g., excision).
ICD-10-CM codes vary in length, from 3 to 7 characters long. If the ICD-10-CM code is 7 characters long, there is only one space between the code and its full description.
The two parts of the ICD-10-CM index are the index to diseases and injury and index to external causes of injury. The table of drugs and chemicals and the neoplasm table are housed in the index to diseases and injury.
The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) is a U.S. cataloging system for procedural codes that track various health interventions taken by medical professionals.
sevenThere are seven (7) characters in each ICD-10-PCS (Procedural Coding System) code. Each character has a slightly different meaning related to that particular section meaning related to that particular section. Surgical, obstetric, imaging, etc.
The ICD-10-PCS is divided into 17 sections of Code tables, which are organized by general type procedure. The largest of these sections-- The Medical and Surgical Section-- contains 31 body system values and 31 root operations.
A Qualifier specifies an additional attribute of the procedure, if applicable.
22 chaptersVolume 1 of the ICD-10 has 22 chapters, most of which cover particular body systems, special diseases or external factors. There are, however, two exceptions: Chapter XVIII: Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified and Chapter XXII: Codes for special purposes.
Section II includes guidelines for selection of principal diagnosis for non-outpatient settings. Section III includes guidelines for reporting additional diagnoses in non-outpatient settings. Section IV is for outpatient coding and reporting.
7 alphanumeric charactersFor ICD-10-PCS (Procedure Coding System), the code structure is as follows: The code is 7 alphanumeric characters long. The first character identifies the section or type of procedure. The second character identifies the body system or anatomical region the procedure is taking place in.
The ICD-10-CM Tabular List contains categories, subcategories, and codes. Characters for categories, subcategories, and codes may be either a letter or a number. All categories have three characters.
In ICD-10-PCS sections 0 through F, the fourth character defines the body part, body system, body region, or treatment site – i.e., the specific anatomical site where the procedure or service is performed.
The seventh character under ICD-10 defines the “type of encounter”.