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American Medical Association - ICD-10-PCs 2022 the Complete Official Codebook

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American Medical Association ICD-10-PCs 2022 the Complete Official Codebook

ICD-10-PCs 2022 the Complete Official Codebook: summary, description and annotation

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ICD-10-PCS 2022: The Complete Official Codebook contains the complete ICD-10-PCS code set and supplementary appendixes required for reporting inpatient procedures. This illustrated codebook presents the code set in 17 sections of tables arranged by general procedure type. Tables within the extensive Medical and Surgical section are additionally sectioned out by body system, indicated by color-coded page borders.

ICD-10-PCS contains classifications for procedures, devices, and technologies.

FEATURES AND BENEFITS

  • Summary of changes. Quickly see how additions and deletions affect each section of ICD-10-PCS.
  • Complete ICD-10-PCS 2022 code set. The code set is organized in 17 sections. Each section contains a code table by which a code can be built through character selections that reflect the procedure performed. A character meanings table and citations to American Hospital Associations Coding Clinic(R) start each section.
  • Official coding guidelines. Learn how to use the code set appropriately following the guidelines specific for each section.
  • Illustrations. The color illustrations provide a visual explanation of anatomy and procedural approach.
  • Approach illustrations show the access location, method, and instrumentation that determine the approach.
  • Body parts with indicators to applicable code characters (provided immediately after the Character Meaning tables in the Medical/Surgical sections)
  • Visual alerts. This edition provides color-coding and symbols that identify male/female procedures and new/revised character values.
  • Detailed information on structure and conventions of ICD-10-PCS. Learn about the unique structure and the specific definitions and functions of each character. Practice your skills with sample exercises (answers included).
  • Color-coding and symbols for the Medicare Code Edits. This edition includes color-coding and symbols for the most comprehensive coverage of ICD10 MS-DRG MCEs for procedures including;
    • Non-covered procedures
    • Limited-coverage procedures
    • Combination-only procedures
    • Non-operating room procedures affecting MS-DRG assignment
    • Non-operating room procedures not affecting MS-DRG assignment
    • Hospital-acquired condition (HAC)-related procedures
  • Procedure combination tables. Identify ICD-10-PCS code-combination requirements needed to satisfy certain MS-DRG requirements.
  • Valuable resources to enhance productivity. Resources to help guide the user, including:
    • Root operation definition table for medical/surgical section
    • Root operation for medical/surgical section, grouped by objective
    • Operation/Type definition tables for other ICD-10-PCS sections
    • Body-part definitions and body-part key for accurate identification of correct body-part character
    • Device key and device aggregation tables
    • Approach definitions
    • Substance key

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Notice ICD-10-PCS The Complete Official Codebook is designed to be an - photo 1
Notice
ICD-10-PCS: The Complete Official Codebook is designed to be an accurate and authoritative source regarding coding and every reasonable effort has been made to ensure accuracy and completeness of the content. However, the American Medical Association (AMA) makes no guarantee, warranty, or representation that this publication is accurate, complete, or without errors. It is understood that the AMA is not rendering any legal or other professional services or advice in this publication and that the AMA bears no liability for any results or consequences that may arise from the use of this book.
Our Commitment to Accuracy
The AMA is committed to producing accurate and reliable materials. To report corrections, please call the AMA Unified Service Center at (800) 621-8335. AMA product updates, errata, and addendum can be found at amaproductupdates.org.
To purchase additional copies, contact the AMA at 612-435-6065 or visit the AMA store at amastore.com. Refer to product number OP201122.
Copyright
2021 Optum360, LLC
Made in the USA
OP201122
BQ45: 8/21
Acknowledgments
Marianne Randall, CPC, Product Manager
Anita Schmidt, BS, RHIA, AHIMA-approved ICD-10-CM/PCS Trainer, Subject Matter Expert
Karen Krawzik, RHIT, CCS, AHIMA-approved ICD-10-CM/PCS Trainer, Subject Matter Expert
LaJuana Green, RHIA, CCS, Subject Matter Expert
Stacy Perry, Manager, Desktop Publishing
Tracy Betzler, Senior Desktop Publishing Specialist
Hope M. Dunn, Senior Desktop Publishing Specialist
Katie Russell, Desktop Publishing Specialist
Kate Holden, Editor
Anita Schmidt, BS, RHIA, AHIMA-approved ICD-10-CM/PCS Trainer
Ms. Schmidt has expertise in ICD-10-CM/PCS, DRG, and CPT with more than 15 years experience in coding in multiple settings, including inpatient, observation, and same-day surgery. Her experience includes analysis of medical record documentation, assignment of ICD-10-CM and PCS codes, and DRG validation. She has conducted training for ICD-10-CM/PCS and electronic health record. She has also collaborated with clinical documentation specialists to identify documentation needs and potential areas for physician education. Most recently she has been developing content for resource and educational products related to ICD-10-CM, ICD-10-PCS, DRG, and CPT. Ms. Schmidt is an AHIMA-approved ICD-10-CM/PCS trainer and is an active member of the American Health Information Management Association (AHIMA) and the Minnesota Health Information Management Association (MHIMA).
Karen Krawzik, RHIT, CCS, AHIMA-approved ICD-10-CM/PCS Trainer
Ms. Krawzik has expertise in ICD-10-CM, ICD-9-CM, CPT/HCPCS, DRG, and data quality and analytics, with more than 30 years experience coding in multiple settings, including inpatient, observation, ambulatory surgery, ancillary, and emergency room. She has served as a DRG analyst and auditor of commercial and government payer claims, as a contract administrator, and worked on a team providing enterprise-wide conversion of the ICD-9-CM code set to ICD-10. More recently, she has been developing print and electronic content related to ICD-10-CM and ICD-10-PCS coding systems, MS-DRGs, and HCCs. Ms. Krawzik is credentialed by the American Health Information Management Association (AHIMA) as a Registered Health Information Technician (RHIT) and a Certified Coding Specialist (CCS) and is an AHIMA-approved ICD-10-CM/PCS trainer. She is an active member of AHIMA and the Missouri Health Information Management Association.
Contents
Whats New for 2022
The Centers for Medicare and Medicaid Services is the agency charged with maintaining and updating ICD-10-PCS. CMS released the most current revisions, a summary of which may be found on the CMS website at https://www.cms.gov/medicare/icd-10/2022-icd-10-pcs.
Due to the unique structure of ICD-10-PCS, a change in a character value may affect individual codes and several code tables.
Change Summary Table
2021 Total
New Codes
Revised Titles
Deleted Codes
2022 Total
78,136
78,220
ICD-10-PCS Code FY 2022 Totals, By Section
Medical and Surgical
67,754
Obstetrics
Placement
Administration
1,253
Measurement and Monitoring
Extracorporeal or Systemic Assistance and Performance
Extracorporeal or Systemic Therapies
Osteopathic
Other Procedures
Chiropractic
Imaging
2,977
Nuclear Medicine
Radiation Therapy
2,087
Physical Rehabilitation and Diagnostic Audiology
1,380
Mental Health
Substance Abuse Treatment
New Technology
Total
78,220
ICD-10-PCS Table Changes Highlights
New rows added to root operation table Extraction in the Central Nervous System and Cranial Nerves body system, capturing body part values Brain and Cerebral Hemisphere
New qualifier Orbital Atherectomy Technique added to root operation table Extirpation in the Heart and Great Vessels body system, Percutaneous approach, for body parts Coronary Artery, One; Coronary Artery, Two; Coronary Artery, Three Arteries; and Coronary Artery, Four or More Arteries
New row added to root operation table Fragmentation in the Heart and Great Vessels body system, capturing body parts Coronary Artery, One; Coronary Artery, Two; Coronary Artery, Three Arteries; and Coronary Artery, Four or More Arteries
New rows added to root operation table Replacement in the Heart and Great Vessels body system, adding body part Heart, Open approach, with Devices Biologic with Synthetic Substitute, Autoregulated Electrohydraulic and Synthetic Substitute, Pneumatic, and new rows added to body part Pulmonary Valve, device Zooplastic Tissue, to capture new Device qualifiers In Existing Conduit and Native Site
New body part value Ventricle, Left, added to root operation table Restriction in the Heart and Great Vessels body system
Approach value Percutaneous added to body parts Brachial Artery, Left, and Brachial Artery, Right, in the root operation table Bypass in the Upper Arteries body system
New body part value Intracranial Artery added to root operation table Fragmentation in the Upper Arteries body system
New approach values Via Natural or Artificial Opening and Via Natural or Artificial Opening Endoscopic added to root operation table Occlusion in the Lower Veins body system, body part Lower Vein
New body part value Bone Marrow added to root operation table Extraction in the Lymphatic and Hemic Systems body system
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