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Chapter 49 Introduction to ICD-10-PCS Procedure Coding Questions and Answers
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Chapter 49 Introduction to ICD-10-PCS Procedure Coding Questions and Answers ICD-10-PCS (referred to as PCS in this text) is a new coding system used by hospitals for coding inpatient procedures. The goal in developing ICD-10-PCS was to incorporate several specific attributes (characteri...

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  • November 24, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • chapter 49 introduction to icd 10 pcs procedure co
  • completeness there should be a unique code for eve
  • unique definitions icd 10 pcs codes are constructe

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Chapter 49 Introduction to ICD-10-PCS
Procedure Coding Questions and
Answers
ICD-10-PCS (referred to as PCS in this text) is - answer a new coding
system used by hospitals for coding inpatient procedures.

The goal in developing ICD-10-PCS was to incorporate several
specific attributes (characteristics): completeness, unique definitions,
expandability, multiaxial nature, standardized terminology,
and structural integrity. - answer

completeness - answer there should be a unique code for
every procedure that is significantly different in body part,
approach, or method.

unique definitions - answer ICD-10-PCS codes are constructed of seven characters,
or
positions, each with a distinct purpose and meaning.

expandability - answer means that the structure of the code set allows
new procedures to be easily incorporated.

multiaxial nature - answer of PCS codes means that each position or
character within a code number has a designated meaning or
purpose.

Standardized terminology - answer means that the code set includes
definitions of the terminology it uses; each term must have only
one meaning.

structural integrity - answer can be expanded
easily without disrupting the structure of the system

Hospital resources include the following: - answer • hospital staff, such as nurses,
surgical technicians, nurse
aides, and ancillary personnel
• space, equipment, and supplies, such as operating rooms,
surgical instruments, X-ray, MRI, and CT equipment,
surgical supplies, and linens
• overhead, such as utilities, operating expenses, and general
administration

, Hospital resources do not include the physician.

PCS is used only when a hospital or other inpatient facility
bills for inpatient services. - answer

charge capture - answer is the process of entering the nonprocedural services
provided
throughout the patient stay, which is best done through a computer
at the time the service is provided

charge description master (CDM) - answer

revenue code - answer four-digit code that identifies a general category of service,
such
as accommodation (room charge), type of ancillary service,
pharmacy, or supplies.

Diagnosis related groups (DRGs) - answer a payment system that
categorizes patients who are medically related with respect to
diagnosis and treatment and statistically have similar lengths of
stay

case-based - answer the rate is determined
per case, or per inpatient admission, rather than on a per
diem (daily) basis or a fee-for-service basis.

DRG grouper - answer software that considers several clinical and
demographic characteristics of a patient.

The standard hospital
billing form is the - answer UB-04

Condition codes - answer identify certain events or circumstances
related to a patient.

Occurrence codes - answer are used to
identify a significant event that could affect payer processing.

value codes - answer are entered in FL 39-41 and identify the
number and dollar amount of certain services provided.

revenue codes - answer are entered in FL 42, lines 1 to 22, with related
service and charge information in FL 43-48.

Tables - answer are reference grids used to
select the body part, operative approach, and other characteristics

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