Movatterモバイル変換

ICD-10 Procedure Coding System

From Wikipedia, the free encyclopedia

Medical classification system used for procedural coding

TheICD-10 Procedure Coding System (ICD-10-PCS) is a US system ofmedical classification used forprocedural coding. TheCenters for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 ofICD-9-CM. ICD-9-CM contains a procedure classification;ICD-10-CM does not. ICD-10-PCS is the result. ICD-10-PCS was initially released in 1998. It has been updated annually since that time.^[1] Despite being named after the WHO'sInternational Classification of Diseases, it is a US-developed standard which is not used outside the United States.^[2]

Section structure

[edit]

Each code consists of seven alphanumeric characters. The first character is the 'section'. The second through seventh characters mean different things in each section. Each character can be any of 34 possible values the ten digits 0-9 and the 24 letters A-H, J-N and P-Z may be used in each character. The letters O and I are excluded to avoid confusion with the numbers 0 and 1.^[3] There are no decimals in ICD-10-PCS^[4]

Of the 72,081 codes in ICD-10-PCS, 62,022 are in the first section, "Medical and surgical".^[5]

Character 1	Character 2	Character 3	Character 4	Character 5	Character 6	Character 7
0Medical andSurgical	Body System 0Central nervous system; 1Peripheral nervous system;2 Heart andGreat vessels; 3Upper arteries; 4Lower arteries; 5Upper veins; 6Lower veins; 7Lymphatic andHemic system; 8Eye; 9Ear,Nose,Sinus; BRespiratory System; CMouth andThroat; DGastrointestinal system; FHepatobiliary System andPancreas; GEndocrine system; HSkin andBreast; JSubcutaneous tissue; KMuscles; LTendons; MBursae andLigaments; NHead andFacial bones; PUpper bones; QLower bones; RUpper joints; SLower joints; TUrinary system; UFemale reproductive system; VMale reproductive system; WAnatomical regions, General; XAnatomical regions,Upper extremities; YAnatomical regions,Lower extremities	Root Operation see below	Body Part	Approach 0 Open; 3Percutaneous; 4 PercutaneousEndoscopic; 7 Via Natural or Artificial Opening; 8 Via Natural or Artificial Opening Endoscopic; F Via Natural or Artificial Opening Endoscopic with Percutaneous Endoscopic Assistance; X External	Device	Qualifier
1Obstetrics	10 Pregnancy	102 Change; 109Drainage; 10AAbortion; 10D Extraction; 10EDelivery; 10H Insertion; 10JInspection; 10P Removal; 10Q Repair; 10S Reposition; 10T Resection; 10YTransplantation	Body Part	Approach	Device	Qualifier
2 Placement	2W Anatomical Regions;2Y Anatomical Orifices	Root Operation 2?0 Change; 2?1Compression; 2?2Dressing; 2?3Immobilization; 2?4 Packing; 2?5 Removal; 2?6Traction	Body Region/Orifice	Approach	Device	Qualifier
3 Administration	30 Circulatory;3CIndwelling Device;3E Physiological Systems and Anatomical Regions	Root Operation	Body System/Region	Approach	Substance	Qualifier
4 Measurement and Monitoring	4A Physiological Systems;4B Physiological Devices	Root Operation	Body System	Approach	Function	Qualifier
5Extracorporeal Assistance and Performance	5A Physiological Systems	Root Operation	Body System	Duration	Function	Qualifier
6 Extracorporeal Therapies	6A Physiological Systems	Root Operation 6A0 Atmospheric control;6A1 Decompression;6A2 Electromagnetic therapy;6A3 Hyperthermia;6A4 Hypothermia;6A5 Pheresis;6A6 Phototherapy;6A7 Ultrasound therapy;6A8 Ultraviolet light therapy;6A9 Shock wave therapy	Body System	Duration	Qualifier	Qualifier
7Osteopathic	7W	7W0	Body Region	Approach	Method	Qualifier
8 Other Procedures	8C Indwelling Device;8E Physiological Systems and Anatomical Regions	Root Operation	Body Region	Approach	Method	Qualifier
9Chiropractic	9W	9WB	Body Region	Approach	Method	Qualifier
BImaging	Body System 0 Central Nervous System; 2 Heart; 3 Upper Arteries; 4 Lower Arteries; 5 Veins; 7 Lymphatic System; 8 Eye; 9 Ear, Nose, Mouth and Throat; B Respiratory System; D Gastrointestinal System; F Hepatobiliary System and Pancreas; G Endocrine System; H Skin, Subcutaneous Tissue and Breast; L Connective Tissue; N Skull and Facial Bones; P Non-Axial Upper Bones; Q Non-Axial Lower Bones; R Axial Skeleton, Except Skull and Facial Bones; T Urinary System; U Female Reproductive System; V Male Reproductive System; W Anatomical Regions; Y Fetus and Obstetrical	Root Type	Body Part	Contrast 0=high osmolar contrast; 1=low osmolar contrast; z=other contrast	Qualifier	Qualifier
CNuclear medicine	Body System 0 Central Nervous System; 2 Heart; 5 Veins; 7 Lymphatic and Hematologic System; 8 Eye; 9 Ear, Nose, Mouth and Throat; B Respiratory System; D Gastrointestinal System; F Hepatobiliary System and Pancreas; G Endocrine System; H Skin, Subcutaneous Tissue and Breast; P Musculoskeletal System; T Urinary System; V Male Reproductive System; W Anatomical Regions	Root Type	Body Part	Radionuclide	Qualifier	Qualifier
DRadiation oncology	Body System 0 Central and Peripheral Nervous System; 7 Lymphatic and Hematologic System; 8 Eye; 9 Ear, Nose, Mouth and Throat; B Respiratory System; D Gastrointestinal System; F Hepatobiliary System and Pancreas; G Endocrine System; H Skin; M Breast; P Musculoskeletal System; T Urinary System; U Female Reproductive System; V Male Reproductive System; W Anatomical Regions	Root Type	Body Part	Modality Qualifier	Isotope	Qualifier
FPhysical rehabilitation and DiagnosticAudiology	F/0 Rehabilitation;F/1 Diagnostic Audiology	Root Type	Body System & Region	Type Qualifier	Equipment	Qualifier
GMental health	GZ None	Root Type GZ1 Psychological tests;GZ2 Crisis intervention;GZ3 Medication management;GZ5 Individual psychotherapy;GZ6 Counseling;GZ7 Family psychotherapy;GZB Electroconvulsive therapy;GZC Biofeedback;GZF Hypnosis;GZG Narcosynthesis;GZH Group psychotherapy;GZJ Light therapy	Type Qualifier	Qualifier	Qualifier	Qualifier
HSubstance abuse Treatment	HZ None	Root Type	Type Qualifier	Qualifier	Qualifier	Qualifier
X New Technology

Root operations

[edit]

For medical/surgical, these are the root operation codes:

00 alteration; 01bypass; 02 change; 03 control; 04 creation; 05 destruction; 06 detachment; 07 dilation; 08 division; 09drainage; 0Bexcision; 0Cextirpation; 0D extraction; 0F fragmentation; 0G fusion; 0H insertion; 0J inspection; 0K map; 0L occlusion; 0Mreattachment; 0N release; 0P removal; 0Q repair; 0R replacement; 0S reposition; 0T resection; 0U supplement; 0V restriction; 0W revision; 0X transfer; 0Ytransplantation

Region	Code
Head	0
Cervical	1
Thoracic	2
Lumbar	3
Sacrum	4
Pelvis	5
Lower extremities	6
Upper extremities	7
Rib cage	8
Abdomen	9

v t e Procedures relating to thehaematopoetic andlymphatic systems
Bone marrow	Stem cell transplantation Hematopoietic stem cell transplantation
Thymus	Removal Transplantation
Spleen	Removal Transplantation
Lymph nodes	Lymphadenectomy Neck dissection Retroperitoneal lymph node dissection Lymph node biopsy
Tonsils	seeTemplate:Procedures on the mouth and pharynx
Imaging	Lymphogram

v t e Tests andprocedures on theear
Outer ear	Otoplasty
Middle ear	Myringotomy Stapedectomy Tympanoplasty Tympanocentesis Myringoplasty
Inner ear	Mastoidectomy
Tests	Epley maneuver Caloric reflex test Auditory brainstem response Electronystagmography

v t e Test andprocedures involving theendocrine system
Pancreas	Islet cell transplantation see alsodigestive system procedures
Pituitary	Hypophysectomy Transsphenoidal surgery Combined rapid anterior pituitary evaluation panel
Thyroid	Thyroidectomy Parathyroidectomy Tests Radioactive iodine uptake test Sestamibi parathyroid scan TRH stimulation test
Adrenal gland	Adrenalectomy Tests Dexamethasone suppression test ACTH stimulation test Captopril suppression test Fluid deprivation test
Pineal gland	Pinealectomy

v t e Tests and procedures involving thebreast
Breast surgery	Breast-conserving surgery Lumpectomy Segmental resection Wide local excision Quadrantectomy Mastectomy Radical mastectomy Breast augmentation Trans-umbilical breast augmentation Mammaplasty Breast implant Breast reduction SPAIR Mastopexy Breast reconstruction Interventions on theLactiferous ducts Ductal lavage Ductoscopy Microdochectomy Central duct excision
Breast imaging	Mammography Positron emission mammography Tomosynthesis Xeromammography Galactography Breast MRI Breast ultrasound Automated whole-breast ultrasound Scintimammography Elastography
Other	Breast biopsy Fine-needle aspiration Breast cancer screening Breast self-examination Ductal lavage Breast duct endoscopy

v t e Tests and procedures onmuscle andsoft tissue
Muscle	Myotomy Heller myotomy Muscle biopsy Electromyography Magnetomyography
Tendon	Tenotomy Tendon transfer
Fascia	Fasciotomy
Bursa	Bursectomy
Other	Amputation Hemipelvectomy Hemicorporectomy Replantation

v t e Surgery
subspecialties	Cardiac surgery Cardiothoracic surgery Colorectal surgery Eye surgery General surgery Neurosurgery Oral and maxillofacial surgery Orthopedic surgery Hand surgery Otolaryngology ENT Pediatric surgery Plastic surgery Reproductive surgery Surgical oncology Transplant surgery Trauma surgery Urology Andrology Vascular surgery
General procedures	Incision and drainage Endoscopy Intubation Tamponade Balloon tamponade Therapeutic irrigation Antiseptic lavage Joint replacement

v t e Chiropractic
Chiropractic	History Sports chiropractic Veterinary chiropractic Controversy and criticism
Techniques	Cervical manipulation Activator technique Gonstead technique Koren Specific Technique Manual therapy Myofascial release Spinal adjustment Torque release technique
Education	Schools Credentials
Accrediting bodies	CCEI CCE-USA
International organizations	WFC FICS
People	D.D. Palmer B.J. Palmer Joseph C. Keating Jr. Joseph Janse Clarence Gonstead Tedd Koren
Category

v t e Physical therapy and rehabilitation
Physical rehabilitation disciplines	Physical therapy Occupational therapy Speech and language pathology
Education	Doctor of Physical Therapy Master of Physical Therapy Physical therapy education
Intervention techniques	Aquatic therapy Cryotherapy Debridement Diathermy Eccentric training Electrotherapy Gait training Heat therapy (Thermotherapy) Hydrotherapy Iontophoresis Joint manipulation Joint mobilization Soft tissue therapy Splint Strength training Traction Therapeutic ultrasound
Professional associations andregulatory agencies	American Board of Physical Therapy Specialties American Occupational Therapy Association American Physical Therapy Association American Speech-Language-Hearing Association Commission on Accreditation in Physical Therapy Education Federation of State Boards of Physical Therapy World Confederation of Physical Therapy World Federation of Occupational Therapists
Other related articles	Prehabilitation Allied health professions Assistive technology Disability Evidence-based practice Pain management Physical therapy practice act

Movatterモバイル変換

Section structure

Root operations

Regions

See also

References