ICD-10-PCS Coding in the Medical and Surgical-Related Subsection
 
 

ICD-10-PCS Coding in the Medical and Surgical-Related Subsection

 

ICD-10-PCS Section Values of the Medical and Surgical-Related Subsection

In the Medical and Surgical-Related subsections of ICD-10-PCS, there are nine section values. These include Obstetrics, Placement, Administration, Measurement and Monitoring, Extracorporeal Assistance and Performance, Extracorporeal Therapies, Osteopathic, Other Procedures, and Chiropractic.

Section Value

Description

1

Obstetrics

2

Placement

3

Administration

4

Measurement and Monitoring

5

Extracorporeal Assistance and Performance

6

Extracorporeal Therapies

7

Osteopathic

8

Other Procedures

9

Chiropractic

Section Value 1: Obstetrics

There are 12 root operations in the Obstetrics section value, ten of which are also found in the Medical and Surgical subsection. The two root operations unique to the Obstetrics section value are Value A, Abortion and Value E, Delivery. The code structure involves seven characters, with character 1 always being 1, character 2 representing a body system, character 3 representing the root operation, character 4 representing a body part, character 5 representing the approach, character 6 representing a device, and character 7 being a qualifier (Davis, 2011).

Code Structure Example

1

2

Body System

3

Root Operation

4

Body Part

 5

Approach

6

Device

7

Qualifier

Obstetrics

Pregnancy

Extraction

Products

Via Nat/Art Opening

No Device

Low Forceps

1

0

D

0

7

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Z

3

Section Value 2: Placement

With the Medical and Surgical-Related subsection, the Placement section value

Follows the same conventions as the Medical and Surgical subsection, where all seven characters retain the same meaning. The Placement section value root operations include only those procedures performed without a puncture or making an incision (Davis, 2011).

Value

Description

Definition

0

Change

Taking out or turning off a device and putting back a similar device

1

Compression

Putting pressure on a body region

2

Dressing

Putting materials on a body region

3

Immobilization

Preventing/limiting motion of a body region

4

Packing

Putting material in a body region

5

Removal

Taking out or turning off a device from a body region

6

Traction

Exerting force on a body region in a distal direction (Davis, 2011)

Section Value 3: Administration

The Administration section value of the Medical and Surgical-Related subsection includes injections, infusions, and transfusions. These codes define various procedures where a therapeutic or diagnostic substance is given to the patient, such as a blood transfusion or chemotherapy infusion. The root operations of this section value are classified according to the substance category: Introduction, Irrigation, and Transfusion (Davis, 2011).

Code Structure Example

1

Section

2

Body System

3

Root Operation

4

Body Part

5

Approach

6

Substance

7

Qualifier

Administration

Physical and Systemic

Introduction

Peripheral Nerves

Percutaneous

Regional Anesthetic

No Qualifier

3

E

0

T

3

C

Z

Section Value 4: Measuring and Monitoring

There are two main root operations of the section value Measuring and Monitoring of the subsection Medical and Surgical-Related. Measurement defines one procedure, whereas Monitoring defines a series of procedures. Example: a single blood pressure reading is a Measurement, where a series of readings would be Monitoring (Davis, 2011).

Section Value 5: Extracorporeal Assistance and Performance

The section value Extracorporeal Assistance and Performance of the subsection Medical and Surgical-Related includes procedures performed in the critical care setting, such as cardioversion, hemodialysis, and mechanical ventilation. With these types of procedures, equipment is necessary to support the physiological function of the patient. The fifth character in this section value defines the duration, and the sixth one defines function. Two variations of the same kinds of procedures are Assistance and Performance, which vary only in the degree of control exercised over that function (Davis, 2011).

Section Value 6: Extracorporeal Therapies

Section value Extracorporeal Therapies describes other procedures that are not defined by Assistance and Performance in section value 5. The second character contains a single general body system choice, and the sixth character is defined as a qualifier. The meaning of each root operation aligns with the term used in the medical community (Davis, 2011).

Code Structure Example

1

Body System

2

Root

3

Body System

4

Duration

5

Qualifier

6

Qualifier

7

Qualifier

Extracorporeal Therapies

Physiological Systems

Decompression

Circulatory

Single

None

None

6

A

1

5

0

Z

Z

Section Value 7: Osteopathic

The section value 7, Osteopathic, is a small one, involving a single body system, which is Anatomical Regions, and a single root operation, which is Treatment. The sixth character relies on the standard definitions used in the osteopathic specialty (Davis, 2011).

Section Value 8: Other Procedures

The Other Procedures section value 8 contains codes for procedures that are not listed in other Medical and Surgical-Related section values. The root operation is methodologies which attempt to remediate or cure a disorder or disease. There are just a few codes in this section value, which are for nontraditional, whole body therapies like meditation and acupuncture.

Section Value 9: Chiropractic

The Chiropractic section value consists of a single body system, Anatomical Regions, and it includes one root operation, Manipulation. The definition of manipulation is manual procedure where a directed thrust is done to move a joint past the physiological range of motion, without exceeding the anatomical limit (Davis, 2011).

 
 
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