ICD-10-PCS Inpatient Procedure Coding Flashcards
6 cards from real CCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 ICD-10-PCS Inpatient Procedure Coding flashcards as text
In ICD-10-PCS, what distinguishes the root operation 'Fusion' from 'Repair'?
Answer: Fusion joins body parts rendering them immobile; Repair restores normal structure
Fusion (value G) joins portions of a body part to render them immovable (e.g., spinal fusion). Repair (value Q) restores a body part to its normal anatomic structure without fusing it.
A patient undergoes a right total knee replacement. Which ICD-10-PCS root operation is used?
Answer: Replacement
Total joint arthroplasty uses root operation Replacement (value R) - putting in or on biological or synthetic material that physically takes the place of a body part.
How does ICD-10-PCS handle bilateral procedures?
Answer: Separate codes are assigned for each side, as body part values are side-specific
ICD-10-PCS assigns side-specific body part values (right, left) or a bilateral value where it exists. When bilateral values are available, one code captures both. When not available, two codes are required.
In ICD-10-PCS, what is the approach value for a procedure performed entirely through a natural body orifice using an endoscope (e.g., colonoscopy)?
Answer: 8 - Via Natural or Artificial Opening Endoscopic
Approach 8 (Via Natural or Artificial Opening Endoscopic) is used for endoscopic procedures performed through a natural orifice using an endoscope - such as colonoscopy, upper GI endoscopy, or cystoscopy.
A patient has a pacemaker generator implanted in the subcutaneous tissue of the chest wall along with insertion of pacing leads into the right ventricle. How many ICD-10-PCS codes are needed?
Answer: Two codes - one for the generator insertion and one for the lead insertion
ICD-10-PCS guidelines require separate codes for pacemaker generator insertion (into subcutaneous tissue) and lead insertion (into the cardiac chamber), as they involve different body parts.
Under ICD-10-PCS guidelines, when a procedure is converted from laparoscopic to open, how is it coded?
Answer: Code both the laparoscopic attempt and the open procedure
Per ICD-10-PCS coding guidelines, when a laparoscopic procedure is converted to open, the completed open procedure is coded. The laparoscopic portion may also be coded if a distinct service was accomplished before conversion.