ICD-10-CM & ICD-10-PCS

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chapter 11 & 13
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1

11
1) Obstetrics
2) Placements
3) Administration
4) Measurement and Monitoring
5) Extracorporeal Assistance and Performances
6) Extracorporeal Therapies
7) Osteopathic
8) Other Procedures
9) Chiropractic

What are the nine Medical & Surgical Procedure sections?

2

Placement Section 11

Includes only those procedures that are preformed without making an incision or puncture

3

Placement Section has only two body system 11 (character 2) values in this section

Anatomical regions (W)
Anatomical orifices (Y)

4

Placement Section has only two anatomical 11
regions (character 4) values

external body regions e.g., abdominal wall
natural orifices e.g., ear

5

Seven root operations (third character) in 11
the Placement Section ~ Five operations are unique to the placement section

0) Change
1) Compression
2) Dressing
3) Immobilization
4) Packing
5) Removal
6) Traction

6

0 )Change 11

Taking out or off a device from a body region and putting back an identical or similar device in or on the same body region without cutting or puncturing the skin or a mucous membrane

7

1) Compression 11

Putting pressure on a body region

8

2) Dressing 11

Putting material on a body region for protection

9

3) Immobilization 11

Limiting or preventing motion of a body region

10

4)Packing 11

Putting material in a body region

11

5) Removal 11

Taking out or off a device from a body region

12

6) Traction 11

Exerting a pulling force on a body region in a distal direction.

13

Administration Section includes: 11

injections, infusions, transfusions as well as related procedures such as irrigation and tattooing.

14

Three body systems (character 3)values in 11
in the administration section:

0 Circulatory
C Indwelling device
E Physiological systems and anatomical regions

15

Three root operations in the Administration 11
Section; they are classified according to the broad category of substances administered

Blood products are classified to the root operation "transfusion"
Cleansing substances as "irrigation"
Therapeutic, diagnostic, nutritional, physiological, or prophylactic substances are classified as "introduction"

16

Measurement 11

A single level taken at a point in time

17

Monitoring 11

A series of tests performed repetitively over a period of time.

18

Extracorporeal Assistance and Performance 11 Section includes:

Procedures that use equipment to support a physiological function such as breathing (e.g., mechanical ventilation), circulating the blood, (e.g., hemodialysis), or restoring the natural rhythm of the heart (e.g., cardioversion)

19

Restoration 11

Returning and attempting to return

20

Ten root operations in the Extracorporeal 11
therapies Section

Atmospheric control, decompression, electromagnetic therapy, hyperthermia, hypothermia, pheresis, phototherapy, ultrasound therapy, ultraviolet light therapy, shockwave therapy

21

Atmospheric control 11

Extracorporeal control of atmospheric pressure and composition

22

Decompression 11

Extracorporeal elimination of undissolved gas from body fluids

23

Electromagnetic therapy 11

Extracorporeal treatment by electromagnetic rays

24

Hyperthermia 11

Extracorporeal raising of temperature

25

Hypothermia 11

Extracorporeal lowering of body temperature

26

Pheresis 11

Extracoeporeal separation of blood products

27

Phototherapy 11

Extraxorporeal treatment by light rays

28

Ultrasound Therapy 11

Extracorporeal treatment by ultrasound

29

Ultraviolet Therapy 11

Extracoporeal treatment by ultraviolet light

30

Shock wave therapy 11

Extracoporeal treatment by shock waves

31

Other Procedures 11

Methodologies that attempt to remediate or cure a disorder of disease. e.g., acupuncture, meditation, computer assisted procedures, in-vitro fertilization

32

Chiropractic Section: 11
Manipulation

A manual procedure that involves a directed thrust to move a joint past the physiological range of motion without exceeding the anatomical limits

33

Ancillary Procedures ~ six sections 11

B Imaging
C Nuclear Medicine
D Radiation Oncology
F Physical Rehabilitation and Diagnostic Audiology
G Mental Health
H Substance Abuse Treatment

34

Imaging Section utilizes five root types 11

Value 0 Plain radiography
Value 1 Fluoroscopy
Value 2 Computed Tomography (CT)
Value 3 Magnetic Resonance Imaging (MRI)
Value 4 Ultrasonaography

35

Plain radiography 11

Planar display of an image developed from the capture of external ionizing radiation on photographic per photoconductive plates

36

Flouroscopy 11

Single plane or biplane real-time display of an image developed from the capture of ionizing radiation on a fluorescent screen

37

Computed Tomography (CT) 11 `

Computer reformatted digital-display of multi-planar images developed from the capture of multi- exposures of external ionizing radiation

38

Magnetic Resonance Imaging (MRI) 11

Computer-reformatted digital display of multi-planar images developed from nuclei on a body site excited within a magnetic field.

39

Ultrasonography 11

Real-time display of images of anatomy or flow information developed from the capture of reflected and attenuated high-frequency sound waves.

40

Nuclear Medicine Sections: 11
Seven root types:

Value 1 Planar nuclear medicine imaging
Value 2 Tomographic nuclear medicine imaging
value 3 Positron emission tomography (PET)
Value 4 Non imaging nuclear medicine uptake
Value 5 Nonimaging nuclear medicine probe
Value 6 Nonimaging nuclear medicine assay
Value 7 Systemic nuclear medicine therapy

41

Planar nuclear medicine imaging 11

Introduction of radioactive materials into the body for single-plane display of images developed from the capture of radioactive emissions

42

Tomographic nuclear medicine imaging 11

Introduction of radioactive materials into the body for three-dimensional displays of images developed from the capture radioactive emissions

43

Positron emission tomography (PET) 11

Introduction of radioactive materials into the body foe three-dimensional displays of images developed from the simultaneous capture 180 degrees apart of radioactive material

44

Nonimaging nuclear medicine uptake 11

Introduction of radioactive materials into the body foe measurements of organ function, from the detection of radioactive emissions

45

Nonimaging nuclear medicine probe 11

Introduction of radioactive materials into the body for the study of distribution and fate of certain substances by the detection of radioactive emissions; alternatively, measurement of absorption of radioactive emissions from an external source

46

Nonimaging nuclear medicine assay 11

Introduction of radioactive materials into the body for the study of body fluids and blood elements by the detection of radioactive emissions

47

Systemic Nuclear Medicine therapy 11

Introduction of unsealed radioactive materials into the body for treatment

48

Sign 13

Objective evidence of disease observed by the examining physician

49

Symptom 13

Subjective observation reported by the patient

50

Glascow Coma Scale 13

A scale used for assessing the degree of consciousness, especially after an accident

51

Ill-defined and unknown cause of mortality 13

Only used in the very limited circumstances when a patient who has already died is brought into the emergency department or other healthcare facility and is pronounced dead on arrival

52

Glascow Coma Scale is determined by what 13 three factors?

Amount of eye opening, verbal responsiveness, and motor responsiveness