Homework 2

The majority of the ICD-10-PCS Official Coding Guidelines relate to which of the following ICD-10-PCS characters in a code? A. Root operation B. Approach C. Body Part D. Device

A

Which of the following is NOT a section of ICD-10-PCS? A. Laboratory B. Extracorporeal Assistance and Performance C. Chiropractic D. Other Procedures

A

A patient is admitted for an intended cholecystectomy with exploration of the common duct. However, upon entering the abdominal cavity, metastatic malignancy involving stomach and duodenum, with possible primary site in pancreas, necessitated canceling the intended procedure and closing the operative wound. Assign the appropriate procedure code(s) for the encounter

Assign code 0WJG0ZZ, Inspection of peritoneal cavity, open approach. The procedure is coded as an exploratory laparotomy since it was the extent of the procedure performed

28. A patient had a biopsy of the breast followed by a mastectomy. How many codes are needed? A. 1 B. 2 C. 3 D. 4

B

39. Which of the following statements is true regarding "radical excisions"? A. All documented "radical excisions" are coded to "Resection" S. B. The term "radical" can have different meanings depending on the procedure, and the term is not always reliable information for coding the procedure. C. All "radical excisions" should be coded to the root operation "Excision." None of the above

B

44. What is the correct root operation for an application of a compression dressing to an abdominal wound? A. Application B. Compression C. Dressing D. Immobilization

B

44. Which of the following statements regarding Section X codes is FALSE? A. Codes in this section uniquely identify new technology procedures not currently classified elsewhere in ICD-10-PCS. B. The New Technology Section may include only codes for surgical procedures using new technology implantable devices. C. Section X codes do NOT automatically qualify for Medicare's New Technology Add-on payment. Section X codes are standalone codes and therefore do not require additional codes from other ICD-10-PCS sections

B

If a procedure is attempted by a surgeon but is not successful, what should the coding professional do? A. Not code the procedure. B. Code to the root operation performed and if no root operation performed code to inspection. C. Query the surgeon for instructions. D. Code the procedure attempted with a qualifier for "attempted."

B

What does the second character represent in the ICD-10-PCS code structure in the Medical and Surgical Section? A. Section B. Body system C. Root operation D Body part

B

Central vein transfusion of packed red cells

30243N1

Chemotherapy infusion into central vein for cancer treatment

3E04305

Mechanical ventilation, for 2 consecutive days

5A1945Z

39. Which of the following statements is true regarding mastectomy followed by breast reconstruction? A. Both resection and replacement of the breast are coded separately. B. Only replacement of the breast is coded C. Only resection of the breast is coded D. Whether to code resection or replacement of the breast is determined by hospital internal policy

A

Services such as injections, infusions, and transfusions are classified in which ICD-10-PCS Section? A. Administration B. Placement C. Other Procedures D. Injections

A

Which of the following root operations has as its objective "moving a body part to normal or other suitable location"? A. Reposition B. Transfer C. Reattachment D. Transplantation

A

Intravenous pyelogram with fluoroscopy (using other contrast)

BT14YZZ

39. A patient had 10 uterine fibroids excised: 5 from the anterior wall and 5 from the posterior wall of the uterus. How many excision codes should be assigned? A. 10 B. 2 C. 1 D. 5

C

39. Which of the following is an example of a procedure that should be coded multiple times according to the ICD-10-PCS guidelines for multiple procedures? A. Resection of multiple uterine fibroids B. Destruction of two sigmoid colon polyps C. Extraction of multiple toenails D. All of the above

C

A brain PET scan is classified within ICD-10-PCS in which of the following Sections? A Radiation Oncology B Imaging C Nuclear Medicine D Scanning

C

The fifth character in a Nuclear Medicine ICD-10-PCS is used to indicate: A The body part being scanned B Whether contrast is used C The radionuclide used D The modality qualifier

C

What is the correct ICD-10-PCS code for laparoscopic appendectomy (total)? A. 0DBJ4ZZ B. 0DBJ4ZX C. 0DTJ4ZZ D. 0DTJ0ZZ

C

What is the correct ICD-10-PCS code for open biopsy of the left kidney? A. 0TB10ZX B. 0TB10ZZ C. 0TC10ZX D. 0TB13ZX

C

Which of the following organizations developed ICD-10-PCS? A. World Health Organization B. AHIMA C. 3M under contract to the Centers for Medicare & Medicaid Services D. National Center for Health Statistics

C

Which of the following procedures is an example of the "via natural or artificial opening endoscopic" ICD-10-PCS approach? A. Laparoscopic cholecystectomy B. Appendectomy C. Esophagogastroduodenoscopy D.Nasogastric tube insertion

C

Which of the following sections of ICD-10-PCS contain the majority of the procedures that would normally be reported in an inpatient setting? A. Laboratory B. Extracorporeal Assistance and Performance C. Medical and Surgical D. Other Procedures

C

Underline the main term for the following procedures: Excision, upper bones Cardiac bypass Exploratory laparotomy

Excision bypass laparotomy

It is always necessary to start with the Alphabetic Index before proceeding to the Tables to complete a code. True or False.

F

Medicare only requires the reporting of significant procedures, as defined by UHDDS. True or False

F

The ICD-10-PCS Index never provides a complete code. True or False

F

When building an ICD-10-PCS code, values among the appropriate characters from the body part, approach, device, and qualifier column may be selected from any row on a given Table. True or False.

F

What are the steps in locating codes in ICD-10-PCS? Explain

First, locate the main term in the Alphabetic Index. · Follow any cross-reference instructions. · Obtain the first three or four characters for the procedure. · In a few instances, complete seven-character codes are provided. Second, find the applicable Table. · Review the section, body system, and root operation definition, and verify that the first three characters referenced by the Index are correct. Third, continue building the ICD-10-PCS code by selecting a value from each column for the remaining four characters, as follows: · Select a value from the body part column for the fourth character. · Select a value from the approach column for the fifth character. · Select a value from the device column for the sixth character. Select a value from the qualifier column for the seventh character

Ancillary sections within ICD-10-PCS do not include root operations; instead, character 3 in these sections represent the root type of the procedure. True or False

T

Components of a procedure specified in the root operation definition and explanation are not coded separately. True or False

T

Hospitals may report ICD-10-PCS codes for outpatient services, for specific payers under contractual agreements, or as required by their state data-reporting requirements. True or False

T

Root operations in the Placement Section include only those procedures that are performed without making an incision or a puncture. True or False

T

The ICD-10-PCS Tabular List is composed of grids. True or False.

T

To determine the appropriate root operation, the full definition of the root operation must be applied. True or False.

T

A patient had a craniotomy with open biopsy of the brain. Assign the appropriate procedure codes(s) for the encounter.

Assign code 00B00ZX, Excision of brain, open approach, diagnostic. The craniotomy is considered the operative approach and is captured with the "open" approach and should not be coded separately. Biopsies are coded with the qualifier "diagnostic."

What is the correct ICD-10-PCS code for laparoscopic lysis of large intestine adhesions? A. 0DNE0ZZ B. 0DNE4ZZ C. 0D5E4ZZ D. 0DBE3ZZ

B

When an excision of a lesion on a neobladder made up of intestinal tissue is performed, what body part value should be used? A. Intestine B. Bladder C. Either bladder or intestine, depending on where the lesion is located D. Both bladder and intestine, since two codes are required to fully identify the procedure

B

Which of the following characters within ICD-10-PCS is one of the most important concepts to understand in order to identify and select the correct code? A. Body Part B. Root Operation C. Device D. Qualifier

B

Which of the following is the main purpose of the ICD-10-PCS Alphabetic Index? A. To locate a complete ICD-10-PCS code B. To locate the appropriate table in which the information required to complete the characters in a code may be found C. To identify appropriate root operations D. To find the valid combination of characters that make up a code

B

Which of the following root operations has the objective of "taking/letting out fluids or gases"? A. Fragmentation B. Drainage C. Release D. Extraction

B

Which of the following statements is true of the ICD-10-PCS code structure? A. Codes are numeric. B. Codes are made up of seven characters and no decimal points. C. Codes are alphanumeric and made up of four characters. Codes have a minimum of three characters, and up to four characters

B

Which root operation would be used to indicate the performance of a total mastectomy? A. Excision B. Resection C. Detachment D. Extraction

B

Which of the following statements is NOT one of the conditions that must be met in order for multiple procedures performed during the same operative episode to be coded separately? A. The same root operation is performed on different body parts as defined by distinct values of the body part character. B. The same root operation is repeated in multiple body parts, and those body parts are separate and distinct body parts classified to a single ICD-10-PCS body part value. C. Multiple root operations with the same objectives are performed on the same body part. D. The intended root operation is attempted using one approach but is converted to a different approach.

C

Which of the following statements is NOT true about selection of ICD-10-PCS root operations? A. The coder is not required to query the physician when the correlation between the documentation and the defined ICD-10-PCS term is clear. B. It is the coder's responsibility to determine what ICD-10-PCS root operation definition equates to the physician documentation. C. The root operations used in ICD-10-PCS must match exactly with the physician documentation before the code may be selected. D. Root operation refers to the objective of the procedure.

C

I-123 radioisotope bone scan of the body

CW1NFZZ

Mechanical ventilation is classified to which of the following ICD-10-PCS Sections? A. Respiratory B. Placement C. Other Procedures D. Extracorporeal Assistance and Performance

D

Under HIPAA, which of the following is the standard code set for hospitals reporting surgery and procedures for inpatients? A. ICD-10-CM B. CPT C. HCPCS D. ICD-10-PCS

D

Which of the following is NOT a section in the ICD-10-PCS ancillary procedures? A Mental Health B Substance Abuse Treatment C Imaging D Laboratory

D

Which of the following is NOT a section within the Medical-and-Surgical-Related Sections of ICD-10-PCS? A. Obstetrics B. Administration C. Osteopathic D. Physical Rehabilitation and Diagnostic Audiology

D

Which of the following is NOT part of the format of the ICD-10-PCS? A. Alphabetic Index B. Tables C. List of Codes D. Body Part Key

D

Which of the following root operations is NOT in the "root operations that always involve a device" grouping? A. Replacement B. Insertion C. Supplement D. Occlusion

D

Which of the following root operations is an example of a root operation "to take out some or all of a body part"? A. Extirpation B. Fragmentation C. Division D. Detachment

D

Which of the following services are classified to the Physical Rehabilitation and Diagnostic Audiology Section of ICD-10-PCS? A Hearing assessment B Caregiver training C Device fitting D All of the above

D

What is a significant procedure?

Procedure that is surgical in nature, carries a procedural or anesthetic risk, or requires a special training

What is the definition of principal procedure?

The principal procedure is one performed for definitive treatment (rather than for diagnostic or exploratory purposes) or one that is necessary to care for a complication.