This course discusses the coding process for inpatient procedures using ICD-10-PCS (International Classification of Diseases, Tenth Revision, Procedure Coding System). The ICD-10-PCS coding conventions and guidelines and the Uniform Hospital Discharge Data Set (UHDDS) guidelines for procedure coding are addressed. The format and structure of the codes, the contents of the index and code tables, and the basic steps in assigning an ICD-10-PCS code are also reviewed.
“This program has been approved for 1.0000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview
ICD-10-PCS Organization
ICD-10-PCS Sections
ICD-10-PCS: Code Structure
ICD-10-PCS Coding Guidelines
Review
Summary
Section 3: ICD-10-PCS Conventions
Coding Conventions
General Coding Conventions
ICD-10-PCS Definitions
Root Operation Definitions
Review
Summary
Section 4: ICD-10-PCS Guidelines
UHDDS Definitions
Medical and Surgical Section Guidelines: Body System
Medical and Surgical Section Guidelines: Root Operation
Medical and Surgical Section Guidelines: Body Part
Medical and Surgical Section Guidelines: Approach
Medical and Surgical Section Guidelines: Device and Qualifier
Obstetrics Section Guidelines
New Technology Section Guidelines
Review
Summary
Section 5: Steps to Coding
The Basics
Begin the Process with the Index
Selecting the Index Entry
Building the ICD-10-PCS Code
Review
Summary
Section 6: Conclusion
Course Summary
Course Contributor
Resources
References
Sarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified professional coder (CPC), a certified outpatient hospital coder (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah has clinical experience as an Emergency Medical Technician (EMT) and extensive experience in both professional and facility ICD-10-CM/PCS, CPT, and HCPCS coding, education, auditing, and revenue cycle management. Sarah has also authored several coding textbooks and instructional resources.
Disclosure: Sarah A. Serling, CCS, CPC, COC, CRC, CCS-P, CEMC, CPC-I, ICD-10-CM/PCS Trainer discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
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