Understanding ICD-10-CM and ICD-10-PCS

Understanding ICD-10-CM and ICD-10-PCS

Mary Jo Bowie MS, BS, AAS, RHIA, RHIT 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. CHAPTER 35 Imaging, Nuclear Medicine, and Radiation Oncology 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied

or duplicated, or posted to a publicly accessible website, in whole or in part. Imaging Section The Imaging section has a character 1 value of B. Character 2 denotes the body system. There are numerous values for this character as it identifies the body system imaged. 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied

or duplicated, or posted to a publicly accessible website, in whole or in part. Imaging Character 3 Value Character 3 value denotes root operations. The Imaging root operations are: Computerized tomography (CT) Fluoroscopy Magnetic resonance imaging (MRI) Plain radiography Ultrasonography 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied

or duplicated, or posted to a publicly accessible website, in whole or in part. Additional Character ValuesImaging Section Character 4 defines the body part imaged. Character 5 specifies whether the contrast material used in the imaging procedure is high or low osmolar, when applicable. Character 6 is considered a qualifier providing further detail as needed. Character 7 is a qualifier.

2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Nuclear Medicine Section For the Nuclear Medicine section, the characters are: Character 1Section. Value of C. Character 2Body system. Specifies the body system on which the procedure is completed. Character 3Type. This indicates the type of nuclear medicine procedure performed.

2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Additional Character Values for Nuclear Medicine Character 4Body part. This character indicates the body part or body region studied. Regional and combination body parts are commonly used. Character 5Radionuclide. This character

indicates the radionuclide that is the radiation source. 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Final Characters for Nuclear Medicine Character 6Qualifier. The value is always Z for none. Character 7Qualifier. The value is always Z for none.

2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Radiation Oncology Section Character 1 for the Radiation Oncology section has a value of D. Character 2, body system, specifies the body system irradiated. Character 3, modality, specifies the general modality used.

2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Values for Radiation Oncology (cont.) Character 4Body part. This character identifies the body part that is the focus of the radiation therapy. Character 5Modality qualifier. This character specifies the radiation modality used, such as photons, neutrons, and

heavy particles. 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Values for Radiation Oncology (cont.) Character 6- Isotope. This character specifies the isotopes introduced into the body. Character 7- Qualifier- May specify whether the procedure was performed

intraoperatively. 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Key Points to Remember Radiology allows internal structures of the body to be imaged. A radiologist is a doctor who specializes in radiology. The use of contrast materials allows for

enhanced identification of abnormalities. 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Points to Remember Nuclear medicine treats and diagnoses diseases using small amounts of radioactive material. Radioactive material, also known as isotopes, helps to create nuclear medicine images.

2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Additional Points to Remember Radiation oncology is therapeutic. Patients who are receiving radiation oncology are typically undergoing treatment for a malignant neoplasm. 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied

or duplicated, or posted to a publicly accessible website, in whole or in part. Final Points The term modality indicates a certain protocol, therapeutic method, or agent used for treatment. Examples of modalities include: Chemotherapy Brachytherapy Stereotactic radiosurgery 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied

or duplicated, or posted to a publicly accessible website, in whole or in part. Coding Practice Select the code for the following: MRI of the thyroid gland 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Coding Practice Solution Main term to reference in index:

Magnetic Resonance Imaging Modifying term: Gland, Thyroid Code Assignment: BG34ZZZ 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.

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