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60 Cards in this Set
- Front
- Back
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Define Character
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One of the seven components that comprises an ICD-10-PCS procedure code.
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ICD-10-PCS definition of a procedure:
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The complete specification of all seven characters in a PCS code.
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ICD-10-PCS Section's purpose:
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Procedures are divided into sections that identify the general type of procedure.
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Character 'value'
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Individual units defined for each character and represented by a number or letter.
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T/F: Eponyms are inherent in the PCS.
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False. There are no eponyms.
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T/F: An understanding of Latin terminology is essential for successful coding in the PCS system.
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False. Latin terminology is not used; all entries are anatomical or procedural
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What is ICD-10-PCS designed to replace?
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ICD-10-PCS is a replacement for ICD-9-CM Volume 3.
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What is the most possible values for PCS code characters?
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PCS code character has up to 34 possible values.
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What letters of the alphabet are not used in ICD-10-PCS?
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The letters "O" and "I" are not used to avoid confusion with the numbers 0 and 1.
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How many characters make up a complete PCS code.
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Seven
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T/F: It is impossible to build a code from the index alone.
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True. The index is used to locate the table in order to build the correct code based on the documentation.
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T/F: A PCS code must be built from a single row in the correct table.
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True.
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T/F: A coder may choose a value for one character from one row and another value for another character from a different row when building the necessary code.
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False: The PCS code must be built from a single row in the correct table.
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T/F: Codes cannot be build in ICD-10-PCS without first consulting the index.
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False: The index does not have to be used at all in ICD-10-PCS. There are other, faster ways to get to the correct table.
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T/F: The tables in ICD-10-PCS are a replacement for the ICD-9-CM Volume 3 Index.
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False: The tables take the place of the tabular in ICD-9-CM Volume 3.
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T/F: All seven characters must contain valid values in order for a code to be valid.
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True.
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In ICD-10-PCS the word "and" has what meaning?
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When used in a code description, "and" means "and/or".
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What value does the First Character in ICD-10-PCS represent?
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The first-character in ICD-10-PCS codes represents the code's sectional classification
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The largest section in ICD-10-PCS, containing the most tables, is:
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Section 0: The Medical and Surgical section
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How many sections are there in ICD-10-PCS?
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There are 16 different sections in ICD-10-PCS
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The 16 Section values in ICD-10-PCS are?
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Medical and Surgical-Related Sections
0: Medical and Surgical 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 Ancillary Sections B: Imaging C: Nuclear Medicine D: Radiation Oncology F: Physical Rehabilitation / Diagnostic Audiology G: Mental Health H: Substance Abuse and Treatment |
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In ICD-10-PCS what value does the Character 2 represent?
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Character 2: Body System
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In ICD-10-PCS what does the character for Body System represent?
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Character 2: Body System defines the physiological or anatomic region involved.
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T/F: Character 2 defines the general physiological system/anatomic region involved.
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True.
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T/F: There are 31 body systems in the Medical and Surgical section of ICD-10-PCS.
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True: These are
0 Central Nervous System 1 Peripheral Nervous System 2 Heart and Great Vessels 3 Upper Arteries 4 Lower Arteries 5 Upper Veins 6 Lower Veins 7 Lymphatic and Hemic System 8 Eye 9 Ear, Nose, Sinus B Respiratory System C Mouth and Throat D Gastrointestinal System F Hepatobiliary System and Pancreas G Endocrine System H Skin and Breast J Subcutaneous Tissue and Fascia K Muscles L Tendons M Bursae and Ligaments N Head and Facial Bones P Upper Bones Q Lower Bones R Upper Joints S Lower Joints T Urinary System U Female Reproductive System V Male Reproductive System W Anatomical Regions, General X Anatomical Regions, Upper Extremities Y Anatomical Regions, Lower Extremities |
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Definition of Character 3.
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Character 3: Root Operation
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What is the purpose of Character 3?
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It classifies the Root Operation - the objective of the procedure.
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How many root operations are in the Medical and Surgical section?
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There are 31 root operations in the Medical and Surgical section.
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How many root operations are in the Obstetrics section?
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The Obstetrics Section has 12 root operations
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How many root operations are in the Measurement and Monitoring section?
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The Measurement and Monitoring has 2 root operations.
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Name the root operations in the Medical and Surgical section.
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Alteration
Bypass Change Control Creation Destruction Detachment Dilation Division Drainage Excision Extirpation Extraction Fragmentation Fusion Insertion Inspection Map Occlusion Reattachment Release Removal Repair Replacement Reposition Resection Restriction Revision Supplement Transfer Transplantation |
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What does Character 4 describe?
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Character Four: Body Part. (In some body systems, character four is a body region or a second body system.)
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What does Character 5 describe?
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Character 5: Approach
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How many different values are there for Character 5 in the Medical and Surgical section?
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There are seven different approach values in the Medical and Surgical section.
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Name the seven different approach values in the Medical and Surgical section.
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Value Approach
0 Open 3 Percutaneous 4 Percutaneous Endoscopic 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic F Via Natural/Artificial Opening w/Percutaneous Endoscopic Assistance X External |
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What does Character 6 describe?
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Character 6: Device
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What does Character 7 describe?
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Character 7: Qualifier
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Character 6: Value Z is coded when?
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Character 6: Device - coded only when a device remains after the procedure is completed - If no device remains, or was never intended, the value "Z" is used, representing "No device."
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T/F: Character 6: Device is used when sutures, ligatures, radiological markers, and temporary post-operative wound drains are used in the performance of the procedure.
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False: These materials are considered integral to the procedure, and are not coded as devices.
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What root operations would be considered when a procedure is performed on a device only, and not on a body part?
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Procedures performed on a device only may use the root operations "change," "irrigation," "removal," or "revision."
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What root operation is coded when the procedure is an irrigation of a percutaneous nephrostomy tube?
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This procedure is reported by the root operation "irrigation."
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Medical and Surgical-Related Sections - Section Value 1 reports . . .
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Medical and Surgical-Related Section
Obstetrics: Section Value 1 |
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Medical and Surgical-Related Sections - Section Value 2 reports . . .
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Medical and Surgical-Related Section
Placement: Section Value 2 |
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Medical and Surgical-Related Sections - Section Value 3 reports . . .
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Medical and Surgical-Related Section
Administration: Section Value 3 |
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Medical and Surgical-Related Section "Obstetrics" includes what procedures?
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Medical and Surgical-Related Sections
Obstetrics: Section Value 1 Used for procedures performed on the products of conception only. |
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Medical and Surgical-Related Section "Placement" includes what procedures?
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Placement: Section Value 2
Used for putting a device in or on a body region (for protection, immobilization, stretching, compression, or packing). |
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Medical and Surgical-Related Section "Administration" includes what procedures?
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Administration: Section Value 3
Used for infusions, injections, transfusions, irrigation, and tattooing. |
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Medical and Surgical-Related Section
"Measurement/Monitoring" includes what procedures? |
Measurement/Monitoring: Section Value 4
Used to determine the level of physiological or physical function. |
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Medical and Surgical-Related Section
"Extracorporeal Assistance/Performance" includes what procedures? |
Extracorporeal Assistance/Performance: Section Value 5
Includes procedures such as mechanical ventilation and cardioversion. |
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Medical and Surgical-Related Section
"Extracorporeal Therapies" includes what procedures? |
Extracorporeal Therapies: Section Value 6
Equipment outside the body that is used for a therapeutic purpose not involving the assistance or performance of a physiological function. |
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Medical and Surgical-Related Section
"Osteopathic" includes what procedures? |
Osteopathic: Section Value 7
Includes osteopathic treatments. |
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Medical and Surgical-Related Section
"Other Procedures" includes what procedures? |
Other Procedures: Section Value 8
Includes acupuncture, suture removal, and in vitro fertilization. |
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Medical and Surgical-Related Section
"Chiropractic" includes what procedures? |
Chiropractic: Section Value 9
Used to report chiropractic manipulation. |
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How many "Ancillary Service" sections are there?
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There are six Ancillary Service sections.
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Ancillary Service section value "B" is used for reporting?
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Ancillary Service Section Value B: Imaging -
Plain Radiography; Fluoroscopy; CT; MRI; Ultrasound. |
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Ancillary Service section value "C" is used for reporting?
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Ancillary Service Section Value C: Nuclear Medicine-
Introducing radioactive material into the body (to create an image, to diagnose and treat pathologic conditions, or to assess metabolic functions). |
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Ancillary Service section value "D" is used for reporting?
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Ancillary Service Section Value D: Radiation Oncology
The introduction of encapsulated radioactive material for the treatment of cancer. |
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Ancillary Service section value "F" is used for reporting?
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Ancillary Service Section Value F: Rehabilitation and Diagnostic Audiology
Physical/Occupational therapy; Speech-language pathology. |
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Ancillary Service section value "G" is used for reporting?
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Ancillary Service Section Value G: Mental Health
Psychological testing; individual/family psychotherapy; electroconvulsive therapy; biofeedback. |
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Ancillary Service section value "H" is used for reporting?
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Ancillary Service Section Value H: Substance Abuse Treatment
Detoxification services and individual/group/family counseling. |
