Английская Википедия:ICD-10 Procedure Coding System
Шаблон:Short description The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of medical classification used for procedural coding. The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM. ICD-9-CM contains a procedure classification; ICD-10-CM does not. ICD-10-PCS is the result. ICD-10-PCS was initially released in 1998. It has been updated annually since that time.[1] Despite being named after the WHO's International Classification of Diseases, it is a US-developed standard which is not used outside the United States.[2]
Section structure
Each code consists of seven alphanumeric characters. The first character is the 'section'. The second through seventh characters mean different things in each section. Each character can be any of 34 possible values the ten digits 0-9 and the 24 letters A-H, J-N and P-Z may be used in each character. The letters O and I are excluded to avoid confusion with the numbers 0 and 1.[3] There are no decimals in ICD-10-PCS[4]
Of the 72,081 codes in ICD-10-PCS, 62,022 are in the first section, "Medical and surgical".[5]
| Character 1 | Character 2 | Character 3 | Character 4 | Character 5 | Character 6 | Character 7 |
|---|---|---|---|---|---|---|
| 0 Medical and Surgical | Body System 0 Central nervous system; 1 Peripheral nervous system; 2 Heart and Great vessels; 3 Upper arteries; 4 Lower arteries; 5 Upper veins; 6 Lower veins; 7 Lymphatic and Hemic system; 8 Eye; 9 Ear, Nose, Sinus; B Respiratory System; C Mouth and Throat; D Gastrointestinal system; F Hepatobiliary System and Pancreas; G Endocrine system; H Skin and Breast; J Subcutaneous tissue; K Muscles; L Tendons; M Bursae and Ligaments; N Head and Facial bones; P Upper bones; Q Lower bones; R Upper joints; S Lower joints; T Urinary system; U Female reproductive system; V Male reproductive system; W Anatomical regions, General; X Anatomical regions, Upper extremities; Y Anatomical regions, Lower extremities |
Root Operation see below |
Body Part | Approach 0 Open; 3 Percutaneous; 4 Percutaneous Endoscopic; 7 Via Natural or Artificial Opening; 8 Via Natural or Artificial Opening Endoscopic; F Via Natural or Artificial Opening Endoscopic with Percutaneous Endoscopic Assistance; X External |
Device | Qualifier |
| 1 Obstetrics | Шаблон:ICD10PCS Pregnancy | 102 Change; 109 Drainage; 10A Abortion; 10D Extraction; 10E Delivery; 10H Insertion; 10J Inspection; 10P Removal; 10Q Repair; 10S Reposition; 10T Resection; 10Y Transplantation | Body Part | Approach | Device | Qualifier |
| 2 Placement | Шаблон:ICD10PCS Anatomical Regions; Шаблон:ICD10PCS Anatomical Orifices | Root Operation 2?0 Change; 2?1 Compression; 2?2 Dressing; 2?3 Immobilization; 2?4 Packing; 2?5 Removal; 2?6 Traction |
Body Region/Orifice | Approach | Device | Qualifier |
| 3 Administration | Шаблон:ICD10PCS Circulatory; Шаблон:ICD10PCSIndwelling Device; Шаблон:ICD10PCS Physiological Systems and Anatomical Regions | Root Operation | Body System/Region | Approach | Substance | Qualifier |
| 4 Measurement and Monitoring | Шаблон:ICD10PCS Physiological Systems; Шаблон:ICD10PCS Physiological Devices | Root Operation | Body System | Approach | Function | Qualifier |
| 5 Extracorporeal Assistance and Performance | Шаблон:ICD10PCS Physiological Systems | Root Operation | Body System | Duration | Function | Qualifier |
| 6 Extracorporeal Therapies | Шаблон:ICD10PCS Physiological Systems | Root Operation Шаблон:ICD10PCS Atmospheric control; Шаблон:ICD10PCS Decompression; Шаблон:ICD10PCS Electromagnetic therapy; Шаблон:ICD10PCS Hyperthermia; Шаблон:ICD10PCS Hypothermia; Шаблон:ICD10PCS Pheresis; Шаблон:ICD10PCS Phototherapy; Шаблон:ICD10PCS Ultrasound therapy; Шаблон:ICD10PCS Ultraviolet light therapy; Шаблон:ICD10PCS Shock wave therapy |
Body System | Duration | Qualifier | Qualifier |
| 7 Osteopathic | Шаблон:ICD10PCS | Шаблон:ICD10PCS | Body Region | Approach | Method | Qualifier |
| 8 Other Procedures | Шаблон:ICD10PCS Indwelling Device; Шаблон:ICD10PCS Physiological Systems and Anatomical Regions | Root Operation | Body Region | Approach | Method | Qualifier |
| 9 Chiropractic | Шаблон:ICD10PCS | Шаблон:ICD10PCS | Body Region | Approach | Method | Qualifier |
| B Imaging | Body System 0 Central Nervous System; 2 Heart; 3 Upper Arteries; 4 Lower Arteries; 5 Veins; 7 Lymphatic System; 8 Eye; 9 Ear, Nose, Mouth and Throat; B Respiratory System; D Gastrointestinal System; F Hepatobiliary System and Pancreas; G Endocrine System; H Skin, Subcutaneous Tissue and Breast; L Connective Tissue; N Skull and Facial Bones; P Non-Axial Upper Bones; Q Non-Axial Lower Bones; R Axial Skeleton, Except Skull and Facial Bones; T Urinary System; U Female Reproductive System; V Male Reproductive System; W Anatomical Regions; Y Fetus and Obstetrical |
Root Type | Body Part | Contrast 0=high osmolar contrast; 1=low osmolar contrast; z=other contrast |
Qualifier | Qualifier |
| C Nuclear medicine | Body System 0 Central Nervous System; 2 Heart; 5 Veins; 7 Lymphatic and Hematologic System; 8 Eye; 9 Ear, Nose, Mouth and Throat; B Respiratory System; D Gastrointestinal System; F Hepatobiliary System and Pancreas; G Endocrine System; H Skin, Subcutaneous Tissue and Breast; P Musculoskeletal System; T Urinary System; V Male Reproductive System; W Anatomical Regions |
Root Type | Body Part | Radionuclide | Qualifier | Qualifier |
| D Radiation oncology | Body System 0 Central and Peripheral Nervous System; 7 Lymphatic and Hematologic System; 8 Eye; 9 Ear, Nose, Mouth and Throat; B Respiratory System; D Gastrointestinal System; F Hepatobiliary System and Pancreas; G Endocrine System; H Skin; M Breast; P Musculoskeletal System; T Urinary System; U Female Reproductive System; V Male Reproductive System; W Anatomical Regions |
Root Type | Body Part | Modality Qualifier | Isotope | Qualifier |
| F Physical rehabilitation and Diagnostic Audiology | Шаблон:ICD10PCS Rehabilitation; Шаблон:ICD10PCS Diagnostic Audiology | Root Type | Body System & Region | Type Qualifier | Equipment | Qualifier |
| G Mental health | Шаблон:ICD10PCS None | Root Type Шаблон:ICD10PCS Psychological tests; Шаблон:ICD10PCS Crisis intervention; Шаблон:ICD10PCS Medication management; Шаблон:ICD10PCS Individual psychotherapy; Шаблон:ICD10PCS Counseling; Шаблон:ICD10PCS Family psychotherapy; Шаблон:ICD10PCS Electroconvulsive therapy; Шаблон:ICD10PCS Biofeedback; Шаблон:ICD10PCS Hypnosis; Шаблон:ICD10PCS Narcosynthesis; Шаблон:ICD10PCS Group psychotherapy; Шаблон:ICD10PCS Light therapy |
Type Qualifier | Qualifier | Qualifier | Qualifier |
| H Substance abuse Treatment | Шаблон:ICD10PCS None | Root Type | Type Qualifier | Qualifier | Qualifier | Qualifier |
| Шаблон:ICD10PCS New Technology |
Root operations
For medical/surgical, these are the root operation codes:
00 alteration; 01 bypass; 02 change; 03 control; 04 creation; 05 destruction; 06 detachment; 07 dilation; 08 division; 09 drainage; 0B excision; 0C extirpation; 0D extraction; 0F fragmentation; 0G fusion; 0H insertion; 0J inspection; 0K map; 0L occlusion; 0M reattachment; 0N release; 0P removal; 0Q repair; 0R replacement; 0S reposition; 0T resection; 0U supplement ; 0V restriction; 0W revision; 0X transfer; 0Y transplantation
They can be grouped into several categories:[5]
- take out or eliminate all or a portion of a body part: excision (sigmoid polypectomy), resection (total nephrectomy), extraction (toenail extraction), destruction (rectal polyp fulguration), detachment (below knee amputation). For biopsies, "extraction" is used when force is required (as with endometrial biopsy), and "excision" is used when minimal force is involved (as with liver biopsy). See also ectomy.
- involve putting in or on, putting back, or moving living body part: transplantation (heart transplant), reattachment (finger reattachment), reposition (reposition undescended testicle), transfer (tendon transfer)
- take out or eliminate solid matter, fluids, or gases from a body part: drainage (incision and drainage), extirpation (thrombectomy), fragmentation (lithotripsy of gallstones)
- only involve examination of body parts and regions: inspection (diagnostic arthroscopy), map (cardiac mapping)
- involve putting in or on, putting back, or moving living body part: bypass (gastrojejunal bypass), dilation (coronary artery dilation), occlusion (fallopian tube ligation), restriction (cervical cerclage)
- always involve devices: insertion (pacemaker insertion), replacement (total hip replacement), supplement (herniorrhaphy using mesh), removal (cardiac pacemaker removal), change (drainage tube change), revision (hip prosthesis adjustment)
- involve cutting and separation only: division (osteotomy), release (peritoneal adhesiolysis)
- involving other repair: control (control of postprostatectomy bleeding), repair (suture of laceration)
- with other objectives: alteration (face lift), creation (artificial vagina creation), fusion (spinal fusion)
Regions
| Region | Code |
|---|---|
| Шаблон:Rh| Head | 0 |
| Шаблон:Rh| Cervical | 1 |
| Шаблон:Rh| Thoracic | 2 |
| Шаблон:Rh| Lumbar | 3 |
| Шаблон:Rh| Sacrum | 4 |
| Шаблон:Rh| Pelvis | 5 |
| Шаблон:Rh| Lower extremities | 6 |
| Шаблон:Rh| Upper extremities | 7 |
| Шаблон:Rh| Rib cage | 8 |
| Шаблон:Rh| Abdomen | 9 |
See also
References
Шаблон:Medical classification Шаблон:Central nervous system tests and procedures Шаблон:Cardiac surgery Шаблон:Vascular surgery procedures Шаблон:Operations and other procedures of the hemic and lymphatic system Шаблон:Eye surgery Шаблон:Operations and other procedures on the ear Шаблон:Operations and other procedures on the nose, mouth, and pharynx Шаблон:Respiratory system surgeries and other procedures Шаблон:Digestive system surgical procedures Шаблон:Endocrine system operations and other procedures Шаблон:Skin and subcutaneous tissue procedures Шаблон:Breast procedures Шаблон:Muscle/soft tissue procedures Шаблон:Bone/joint procedures Шаблон:Urologic surgical and other procedures Шаблон:Female genital procedures Шаблон:Male genital procedures Шаблон:Obstetrical procedures Шаблон:Medical placement and administration procedures Шаблон:Chiropractic Шаблон:Medical imaging Шаблон:Radiation oncology Шаблон:Physical therapy and rehabilitation Шаблон:Psychologic and psychiatric evaluation and testing Шаблон:Psychotherapy
