ICD-10-PCS 2021: The Complete Official Codebook

by American Medical Association

Overview

ICD-10-PCS 2021: The Complete Official Codebook contains the complete ICD-10-PCS code set and supplementary appendixes required for reporting inpatient procedures. This illustrated codebook presents the code set in 17 sections of tables arranged by general procedure type. Tables within the extensive Medical and Surgical section are additionally sectioned out by body system, indicated by color-coded page borders.
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ICD-10-PCS contains classifications for procedures, devices and technologies.

FEATURES AND BENEFITS

• Summary of changes. Quickly see how additions and deletions affect each section of ICD-10-PCS.
• Complete 2021 ICD-10-PCS code set. The code set is organized in 17 sections. Each section contains a code table by which a code can be built through character selections that reflect the procedure performed. A character meanings table and citations to American Hospital Association’s Coding Clinic start each section.
• Official coding guidelines. Learn how to use the code set appropriately following the guidelines specific for each section.
• Illustrations. The full-color illustrations provide a visual explanation of anatomy and procedural approach.

– Approach illustrations show the access location, method, and instrumentation that determine the approach.
– Body parts with indicators to applicable code characters (provided immediately after the Character Meaning
   tables in the Medical/Surgical sections)

• Visual alerts. This edition provides color-coding and symbols that identify male/female procedures and new/revised character values.
• Detailed information on structure and conventions of ICD-10-PCS. Learn about the unique structure and the specific definitions and functions of each character. Practice your skills with sample exercises (answers included).
• Color-coding and symbols for the Medicare Code Edits. This edition includes color-coding and symbols for the most comprehensive coverage of ICD10 MS-DRG MCEs for procedures including;

– 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 (HAC)-related procedures

• Procedure combination tables. Identify ICD-10-PCS code combination requirements needed to satisfy certain MS-DRG requirements.
• Valuable resources to enhance productivity. Resources to help guide the user, including:

– Root operation definition table for medical/surgical section
– Root operation for medical/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

Product Details

ISBN-13:	9781640160842
Publisher:	American Medical Association
Publication date:	08/01/2020
Sold by:	Barnes & Noble
Format:	NOOK Book
Pages:	900
File size:	9 MB

About the Author

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.

Table of Contents

What's New for 2021 iii

Introduction 1

Number of Codes in ICD-10-PCS 1

ICD-10-PCS Manual 1

Medical and Surgical Section (0) 4

Obstetrics Section (1) 7

Placement Section (2) 8

Administration Section (3) 9

Measurement and Monitoring Section (4) 9

Extracorporeal or Systemic Assistance and Performance Section (5) 10

Extracorporeal or Systemic Therapies Section (6) 10

Osteopathic Section (7) 11

Other Procedures Section (8) 11

Chiropractic Section (9) 12

Imaging Section (B) 12

Nuclear Medicine Section (C) 13

Radiation Therapy Section (D) 13

Physical Rehabilitation and Diagnostic Audiology Section (F) 14

Mental Health Section (G) 15

Substance Abuse Treatment Section (H) 15

New Technology Section (X) 16

ICD-10-PCS Index and Tabular Format 19

Index 19

Code Tables 19

ICD-10-PCS Additional Features 21

Use of Official Sources 21

Table Notations 21

Appendixes 22

ICD-10-PCS Official Guidelines for Coding and Reporting 2021 25

Conventions 25

Medical and Surgical Section Guidelines (section 0) 26

Obstetric Section Guidelines (section 1) 30

Radiation Therapy Section Guidelines (section D) 30

New Technology Section Guidelines (section X) 31

Index 33

ICD-10-PCS Tables 131

Central Nervous System and Cranial Nerves 131

Peripheral Nervous System 151

Heart and Great Vessels 169

Upper Arteries 191

Lower Arteries 215

Upper Veins 239

Lower Veins 259

Lymphatic and Hemic Systems 279

Eye 297

Ear, Nose, Sinus 315

Respiratory System 335

Mouth and Throat 351

Gastrointestinal System 369

Hepatobiliary System and Pancreas 397

Endocrine System 411

Skin and Breast 421

Subcutaneous Tissue and Fascia 439

Muscles 459

Tendons 481

Bursae and Ligaments 495

Head and Facial Bones 517

Upper Bones 537

Lower Bones 557

Upper Joints 575

Lower Joints 595

Urinary System 617

Female Reproductive System 633

Male Reproductive System 653

Anatomical Regions, General 669

Anatomical Regions, Upper Extremities 681

Anatomical Regions, Lower Extremities 691

Obstetrics 701

Placement 705

Administration 711

Measurement and Monitoring 723

Extracorporeal or Systemic Assistance and Performance 727

Extracorporeal or Systemic Therapies 729

Osteopathic 731

Other Procedures 733

Chiropractic 735

Imaging 737

Nuclear Medicine 767

Radiation Therapy 777

Physical Rehabilitation and Diagnostic Audiology 795

Mental Health 807

Substance Abuse Treatment 809

New Technology 811

Appendixes 817

Appendix A Components of the Medical and Surgical Approach Definitions 817

Appendix B Root Operation Definitions 821

Appendix C Comparison of Medical and Surgical Root Operations 827

Appendix D Body Part Key 829

Appendix E Body Part Definitions 845

Appendix F Device Classification 857

Appendix G Device Key and Aggregation Table 859

Appendix H Device Definitions 869

Appendix I Substance Key/Substance Definitions 875

Appendix J Sections B-H Character Definitions 879

Appendix K Hospital Acquired Conditions 889

Appendix L Procedure Combination Tables 909

Appendix M Coding Exercises and Answers 931