ICD-10-PCS 2019: The Complete Official Codebook, 1st edition

Published by Pearson (December 17, 2018) © 2018

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Clear guidance in ICD¿-10-¿PCS 2019 coding

  • Updated -¿ The complete 2019 ICD-10-PCS code set is organized in 17 sections of tables arranged by general procedure type. With these tables, users can build codes by selecting characters that reflect the procedure performed. Starting each section are a character meanings table and citations to American Hospital Association’s Coding Clinic.
  • Updated -¿ Official coding guidelines have been updated or revised to help readers use the most current code set appropriately, following the guidelines specific to each section.
  • Updated ¿- Up-to-date detailed information on the structure and conventions of ICD-¿10-¿PCS reveals the unique structure and specific definitions and functions of each character. Users can practice with sample exercises, which include answers.
  • A summary of changes lets users quickly see how additions and deletions affect each section of ICD-10-PCS.

Key information needed for inpatient procedure coding

  • Procedure combination tables identify ICD-¿10-¿PCS code combination requirements needed to satisfy certain MS-¿DRG requirements.
  • Color-¿coding and symbols for ICD-¿10 MS-¿DRG Medicare Code Edits (MCEs) are provided for:
    • Non¿covered procedures
    • Limited coverage procedures
    • Combination only procedures
    • Non¿-operating room procedures affecting MS-¿DRG assignment
    • Non-¿operating room procedures not affecting MS-¿DRG assignment
    • Hospital acquired condition-¿related (HAC) procedures
  • Valuable resources guiding users through inpatient procedures include:
    • Root operation definition table for Medical and Surgical section
    • Root operation for the Medical and Surgical section grouped by objective
    • Operation/Type definition tables for other ICD-¿10-¿PCS sections
    • Body part definitions and body part key for accurate identification of correct body part character
    • Device key and device aggregation tables
    • Approach definitions
    • Substance key
  • Revised - In the Medical and Surgical section, body part values have been revised or streamlined for clarity and usefulness as coded data.
  • New - New qualifiers were added to identify:
    • More specificity for Bypass procedures
    • Drug coated balloon use in Dilation procedures
    • Stent Retriever use in Extirpation procedures
    • Use of irreversible electroporation in Destruction procedures

Visual aids

  • New - New full-color approach illustrations show the access location, method, and instrumentation that determine the anatomic and procedural approach.
  • Illustrations of body parts with indicators to applicable code characters appear immediately after the character meanings tables in the Medical and Surgical section.
  • Visual alerts, such as color-coding and symbols, identify male/female procedures and new/revised character values.

Clear guidance in ICD¿-10-¿PCS 2019 coding

  • The complete 2019 ICD-10-PCS code set is organized in 17 sections of tables arranged by general procedure type. With these tables, users can build codes by selecting characters that reflect the procedure performed. Starting each section are a character meanings table and citations to American Hospital Association’s Coding Clinic.
  • Official coding guidelines have been updated or revised to help readers use the most current code set appropriately, following the guidelines specific to each section.
  • Up-to-date detailed information on the structure and conventions of ICD-¿10-¿PCS reveals the unique structure and specific definitions and functions of each character. Users can practice with sample exercises, which include answers.

Key information needed for inpatient procedure coding

  • In the Medical and Surgical section, body part values have been revised or streamlined for clarity and usefulness as coded data.
  • New qualifiers were added to identify:
    • More specificity for Bypass procedures
    • Drug coated balloon use in Dilation procedures
    • Stent Retriever use in Extirpation procedures
    • Use of irreversible electroporation in Destruction procedures

Visual aids

  • New full-color approach illustrations show the access location, method, and instrumentation that determine the anatomic and procedural approach.

    What’s New for 2019

    Introduction

    • History of ICD-10-PCS
    • Number of Codes in ICD-10-PCS
    • ICD-10-PCS Manual
    • Medical and Surgical Section
    • Obstetrics Section
    • Placement Section
    • Administration Section
    • Measurement and Monitoring Section
    • Extracorporeal or Systemic Assistance and Performance Section
    • Extracorporeal or Systemic Therapies Section
    • Osteopathic Section
    • Other Procedures Section
    • Chiropractic Section
    • Imaging Section
    • Nuclear Medicine Section
    • Radiation Therapy Section
    • Physical Rehabilitation and Diagnostic Audiology Section
    • Mental Health Section
    • Substance Abuse Treatment Section
    • New Technology Section
    • Appendixes

    ICD-10-PCS Index and Tabular Format

    • Index
    • Code Tables

    ICD-10-PCS Additional Features

    • Use of Official Features
    • Table Notations
    • Index Notations

    ICD-10-PCS Official Guidelines for Coding and Reporting 2019

    • Conventions
    • Medical and Surgical Section Guidelines
    • Obstetric Section Guidelines
    • New Technology Section Guidelines
    • Selection of Principal Procedure

    ICD-10-PCS Index to Procedures

    ICD-10-PCS Tables

    • Central Nervous System and Cranial Nerves
    • Peripheral Nervous System
    • Heart and Great Vessels
    • Upper Arteries
    • Lower Arteries
    • Upper Veins
    • Lower Veins
    • Lymphatic and Hemic Systems
    • Eye
    • Ear, Nose, Sinus
    • Respiratory System
    • Mouth and Throat
    • Gastrointestinal System
    • Hepatobiliary System and Pancreas
    • Endocrine System
    • Skin and Breast
    • Subcutaneous Tissue and Fascia
    • Muscles
    • Tendons
    • Bursae and Ligaments
    • Head and Facial Bones
    • Upper Bones
    • Lower Bones
    • Upper Joints
    • Lower Joints
    • Urinary System
    • Female Reproductive System
    • Male Reproductive System
    • Anatomical Regions, General
    • Anatomical Regions, Upper Extremities
    • Anatomical Regions, Lower Extremities
    • Obstetrics
    • Placement
    • Administration
    • Measuring and Monitoring
    • Extracorporeal or Systemic Assistance and Performance
    • Extracorporeal or Systemic Therapies
    • Osteopathic
    • Other Procedures
    • Chiropractic
    • Imaging
    • Nuclear Medicine
    • Radiation Therapy
    • Physical Rehabilitation and Diagnostic Audiology
    • Mental Health
    • Substance Abuse Treatment
    • New Technology

Appendixes

  1. Components of the Medical and Surgical Approach Definitions
  2. Root Operation Definitions
  3. Comparison of Medical and Surgical Root Operations
  4. Body Part Key
  5. Body Part Definitions
  6. Device Key and Aggregation Table
  7. Device Definitions
  8. Substance Key/Substance Definitions
  9. Sections B—H Character Definitions
  10. Hospital Acquired Conditions
  11. Coding Exercises and Answers
  12. Procedure Combination Tables

The American Medical Association has promoted scientific advancement, improved public health, and protected the patient-physician relationship since its establishment in 1847. The AMA is the premier national organization dedicated to empowering the nation’s physicians to provide safer, higher quality, and more efficient care to patients and communities. For more information on the AMA, please visit ama-assn.org.
For more than 50 years, the AMA, in drawing upon its deep expertise and resources, has authored and published books, data files, and online resources that answer the needs of today’s busy physicians and their staff. The AMA product line includes titles on CPT®, HCPCS, and ICD-10 coding, as well as reimbursement, practice management, disability evaluation, impairment, HIPAA, and electronic health records. For more information on all AMA products, please visit amastore.com.

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