HM 160 ICD-10-PCS - Procedures

Lecture Hours: 3
Lab Hours: 9
Credits: 6

Introduces the use of the ICD-10-PCS procedural coding system, with emphasis on skill development in correct code assignment and groupings based on clinical information, documentation and coding guidelines. Introduces advanced coding topics.

Prerequisite: Completion of HM 115 with a grade of C or better; or consent of instructor.
Student Learning Outcomes:

Use and maintain electronic applications and work processes to support clinical classification and coding.
Apply diagnosis/procedure codes according to body systems and nomenclature.
Ensure accuracy of diagnostic/procedural grouping.
Adhere to current regulations and established guidelines in code assignment.
Validate coding accuracy using clinical information found in the health record.
Use and maintain applications and processes to support other clinical classification and nomenclature systems in advanced topics. DRG’s HCC, HEDIS
Resolve discrepancies between coded data and supporting documentation
Apply anatomy and physiology knowledge to maintain correct level of specificity for code assignment.

Content Outline

Introduction to ICD-10-PCS
Definitions
- Root operations
- Body part keys
- Approaches
Procedures in the Medical and Surgical Section
Procedures in the Medical and Surgical-Related Sections
Procedures in the Ancillary Sections
ICD-10-PCS Guidelines
Coding and Impact on Groupings (such as DRG, APC, RUGs)
Coding Compliance Strategies, Auditing and Reporting
Advanced topics such as CDI and HCC