ICD-10-PCS Reference Manual | CMS, Schemes and Mind Maps of Management of Health Service

Coding exercises. Using the ICD-10-PCS Tables, construct the code that accurately represents the procedure performed. 1. Forceps total mouth extraction, ...

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ICD-10-PCS Reference Manual
2015 Version Summary of Changes
The ICD-10-PCS Reference Manual changes for the annual update from public comment and
internal review are listed below. Page numbers given refer to the FY2015 version.
Page ix Sentence added
The sentence “This version updated for FY2015.” was added.
Page 29 Typographical error
The heading “0 Central Nervous System” was revised to “2 Heart and Great Vessels” in the line
below:
“2 HEART AND GREAT VESSELS (Body system)
Page 45 Coding exercises added
The root operation Extraction coding exercises below were inadvertently omitted in a previous
update, and were added to the end of the portion discussing the root operation Extraction as
below:
Coding exercises
Using the ICD-10-PCS Tables, construct the code that accurately represents the procedure
performed.
1. Forceps total mouth extraction, upper and lower teeth: 0CDWXZ2, 0CDXXZ2
2. Removal of left thumbnail: 0HDQXZZ (No separate body part value is given for thumbnail,
so this is coded to Fingernail.)
3. Extraction of right intraocular lens without replacement, percutaneous: 08DJ3ZZ
4. Laparoscopy with needle aspiration of ova for in-vitro fertilization: 0UDN4ZZ
5. Non-excisional debridement of skin ulcer, right foot: 0HDMXZZ
6. Open stripping of abdominal fascia, right side: 0JD80ZZ
7. Hysteroscopy with D&C, diagnostic: 0UDB8ZX
8. Liposuction for medical purposes, left upper arm: 0JDF3ZZ (The Percutaneous approach is
inherent in the liposuction technique.)
9. Removal of tattered right ear drum fragments with tweezers: 09D77ZZ
10. Microincisional phlebectomy of spider veins, right lower leg: 06DY3ZZ
Page 57 Coding note revised
The coding note was revised as shown below:
Coding note: body system value
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ICD-10-PCS Reference Manual

2015 Version Summary of Changes

The ICD-10-PCS Reference Manual changes for the annual update from public comment and internal review are listed below. Page numbers given refer to the FY2015 version.

Page ix Sentence added The sentence “This version updated for FY2015.” was added.

Page 29 Typographical error The heading “0 Central Nervous System” was revised to “2 Heart and Great Vessels” in the line below: “2 HEART AND GREAT VESSELS (Body system)”

Page 45 Coding exercises added The root operation Extraction coding exercises below were inadvertently omitted in a previous update, and were added to the end of the portion discussing the root operation Extraction as below: Coding exercises Using the ICD-10-PCS Tables, construct the code that accurately represents the procedure performed.

  1. Forceps total mouth extraction, upper and lower teeth: 0CDWXZ2, 0CDXXZ
  2. Removal of left thumbnail: 0HDQXZZ (No separate body part value is given for thumbnail, so this is coded to Fingernail.)
  3. Extraction of right intraocular lens without replacement, percutaneous: 08DJ3ZZ
  4. Laparoscopy with needle aspiration of ova for in-vitro fertilization: 0UDN4ZZ
  5. Non-excisional debridement of skin ulcer, right foot: 0HDMXZZ
  6. Open stripping of abdominal fascia, right side: 0JD80ZZ
  7. Hysteroscopy with D&C, diagnostic: 0UDB8ZX
  8. Liposuction for medical purposes, left upper arm: 0JDF3ZZ (The Percutaneous approach is inherent in the liposuction technique.)
  9. Removal of tattered right ear drum fragments with tweezers: 09D77ZZ
  10. Microincisional phlebectomy of spider veins, right lower leg: 06DY3ZZ

Page 57 Coding note revised The coding note was revised as shown below: Coding note: body system value

For procedures involving transfer of tissue layers such as skin, fascia and muscle, the procedure is coded to the body system value that describes the deepest tissue layer in the flap. When the tissue transferred is composed of more than one tissue layer, the qualifier can be used to describe the other tissue layers, if any, being transferred. For transfer procedures classified to other body systems such as peripheral nervous system, the body part value specifies the body part that is the source of the transfer (“from”). Where qualifiers are available, they specify the destination of the transfer (“to”).

Page 57 Coding exercise 1 revised The word “hand” was deleted in the exercise below: “Right open palmaris longus tendon transfer” Answer revised from 0LX70ZZ to 0LX50ZZ

Page 66 Example revised The “Port-a-cath placement” coding example was revised as below: Character 4, Body Part Chest, “V” was revised to “6”. The second table excerpt in the example displaying code 0JH60WZ was deleted.

Page 72 Coding exercise 4 revised Answer revised from 0BP1XFZ to 0BP1XDZ

Page 77 Coding exercise 4 revised Answer revised from 0W3C0ZZ to 0W3D0ZZ

Page 90 Coding exercise 6 revised Answer revised from 3E0S33Z to “3E0S33Z and 3E0U3NZ” Comment following answer revised to “(Steroid is coded to the substance value Anti- inflammatory.)”

Page 96 Coding exercise 2 revised The word “UV” was removed from the exercise below: Bili-lite phototherapy, series treatment: Answer revised from 6A801ZZ to 6A651ZZ

Page 109 Coding note revised The coding note was revised as shown below: Coding note: Device Fitting The fifth character used in Device Fitting procedures describes the device being fitted rather than the method used to fit the device. Where definitions of devices are provided, they are located in the definitions portion of the ICD-10-PCS Tables and Index, under section F, character 5.