CCS ICD-10-PCS Inpatient Procedure Coding

Question 1

How many characters does every ICD-10-PCS code contain?

Accepted Answer

7

Answer

All ICD-10-PCS codes are exactly 7 characters in length, with each character representing a specific axis of classification (section, body system, root operation, body part, approach, device, qualifier).

Question 2

In ICD-10-PCS, what does the root operation 'Excision' mean?

Accepted Answer

Cutting out or off a portion of a body part without replacement

Answer

ICD-10-PCS defines 'Excision' as cutting out or off, without replacement, a portion of a body part - distinguishing it from 'Resection' (all of a body part).

Question 3

A surgeon performs a laparoscopic appendectomy. Which ICD-10-PCS approach value is used?

Accepted Answer

4 - Percutaneous Endoscopic

Answer

Laparoscopic procedures use approach value 4 - Percutaneous Endoscopic, which means entry through small puncture wounds using endoscopic visualization.

Question 4

In ICD-10-PCS, what is the root operation for a coronary artery bypass graft (CABG) procedure?

Accepted Answer

Bypass

Answer

CABG is classified using the ICD-10-PCS root operation 'Bypass' (value 1), which means altering the route of passage of the contents of a tubular body part.

Question 5

When an ICD-10-PCS code requires a 'device' character but no device is left in the body, which value is used?

Accepted Answer

Z - No Device

Answer

ICD-10-PCS uses 'Z - No Device' as a placeholder character when no device is implanted or when the qualifier is not applicable.

(CCS) Certified Coding Specialist Practice Test

(CCS) Certified Coding Specialist Practice Test

CCS ICD-10-PCS Inpatient Procedure Coding