高血压英文ppt精品课件preparingfor icd10cmpcs what does a coder need to do

Preparing for ICD-10- CM/PCS: What does a coder need to do now? Presented by: Jennifer McManis, RHIT ICD-10-CM/PCS Compliance Timeline Training Timeline Continuing Education Requirements Myth Busters Code Structure Coding Fundamentals Case Studies Resources Implementation Date ICD-10-CM/PCS Compliance Deadline October 1, 2013 Claims for services provided on or after this date must use ICD-10 codes CPT codes will continue to be used for outpatient services Compliance Timeline January 1, 2010 Internal testing of Version 5010 for electronic claims December 31, 2010 Internal testing must be complete January 1, 2011 External Testing of Version 5010 claims CMS begins accepting Version 5010 Version 4010 continue to be accepted January 1, 2012 All claims must use Version 5010 Version 4010 no longer accepted Outpatient Coder Training Outpatient Coder Training Approximately 16 hours 2011-2012 Review code Structure RHIT;RHIA- 6 CEUs CCS-P- 12 CEUs CCS; CCA- 18 CEUs If you hold more than one credential, only report the highest number of CEUs CEU Requirements CEU requirements will be included within the total number of CEUs required for a given CEU Cycle. For example, if you hold an RHIA credential, you will obtain 6 CEUs that are in relation to ICD-10-CM/PCS along with the additional 24 CEUs to complete your recertification cycle. Reporting of the CEUs will be made available by Fall of 2011 Myths October 1, 2013 is considered a flexible date Implementation planning should be undertaken with an assumption that DPHHS will grant an extension Workers comp you can go directly to the tables the index does not need to be used first First Three values in the index direct you to the table Tables Each page in the section is composed of rows that specify valid combinations of code values Root Operations Approach ICD-10-PCS ICD-10 Structure XXXXXXX 1st- Section (Medical OB; Imaging) 2nd- Body System 3rd- Root Operation ( Resection, Transfusion) 4th- Body Part 5th- Approach 6th- Device 7th- Qualifier ICD-10-PCS Code Examples 0HTT0ZZ- Right Total Mastectomy 0X6C0ZZ- Amputation at left elbow level 0FT44ZZ- Lap Chole 0HBT0ZX- Right Breast Biopsy 0- Medical Surgical H- Skin & Breast B-Excision T- body Part 0- Approach Z-Device X-Qualifier ICD-10-PCS Root Operations 30 Root Operations Identifies the objective of the procedure In order to determine the appropriate root operation, the full definition of the root operation as contained in the PCS Tables must be applied. Components of a procedure specified in the root operation definition and explanation are not coded separately. Procedural steps necessary to reach the operative site and close the operative site are also not coded separately. Example: Resection of a joint as part of a joint replacement procedure is included in the root operation definition of Replacement and is not coded separately. Laparotomy performed to reach the site of an open liver biopsy is not coded separately. ICD-10-PCS: Root Operations Excision vs. Resection PCS contains specific body parts for anatomical subdivisions of a body part, such as lobes of the lungs or liver and regions of the intestine. Resection of the specific body part is coded whenever all of the body part is cut out or off, rather than coding Excision of a less specific body part. Example: Left upper lung lobectomy is coded to Resection of Upper Lung Lobe, Left rather than Excision of Lung, Left. ICD-10-PCS: Root Operations Biopsy followed by more definitive treatment If a diagnostic Excision, Extraction, or Drainage procedure (biopsy) is followed by a more definitive procedure, such as Destruction, Excision or Resection at the same procedure site, both the biopsy and the more definitive treatment are coded. Example: Biopsy of breast followed by partial mastectomy at the same procedure site, both the biopsy and the partial mastectomy procedure are coded. Control vs. more definitive root operations The root operation Control is defined as, “Stopping, or attempting to stop, postprocedural bleeding.” If an attempt to stop postprocedural bleeding is initially unsuccessful, and to stop the bleeding requires performing any of the definitive root operations Bypass, Detachment, Excision, Extraction, Reposition, Replacement, or Resection, then that root operation is coded instead of Control. Example: Resection of spleen to stop postprocedural bleeding is coded to Resection instead of Control ICD-10-PCS: Root Operations Release procedures In the root operation Release, the body part value coded is the body part being freed and not the tissue being manipulated or cut to free the body part. Example: Lysis of intestinal adhesions is coded to the specific intestine body part value. Release vs. Division If the sole objective of the procedure is freeing a body part without cutting the body part, the root operation is Release. If the sole objective of the procedure is separating or transecting a body part, the root operation is Division. Examples: Freeing a nerve root from surrounding scar tissue to relieve pain is coded to the root operation Release. Severing a nerve root to relieve pain is coded to the root operation Division. ICD-10-PCS Approach Technique used to reach the site of the procedure 7 Different Approaches Open Percutaneous Percutaneous Endoscopic Via Natural or Artificial Opening Open with Percutaneous endoscopic assistance External ICD-10-PCS Device A device is coded only if a device remains after the procedure is completed. If no device remains, the device value No Device is coded. ICD-10-PCS Obstetrics Products of conception Procedures performed on the products of conception are coded to the Obstetrics section. Procedures performed on the pregnant female other than the products of conception are coded to the appropriate root operation in the Medical and Surgical section. Example: Amniocentesis is coded to the products of conception body part in the Obstetrics section. Repair of obstetric urethral laceration is coded to the urethra body part in the Medical and Surgical section. Procedures following delivery or abortion Procedures performed following a delivery or abortion for curettage of the endometrium or evacuation of retained products of conception are all coded in the Obstetrics section, to the root operation