International Classification of Diseases Tenth Revision Procedure Coding

International Classification of Diseases Tenth Revision Procedure Coding System (ICD-10 -PCS): An Applied Approach 2012 Edition Chapter 23 Osteopathic, Other Procedures and Chiropractic © 2012

Osteopathic, Other Procedures and Chiropractic • Section Values -7 – Osteopathic -8 – Other Procedures -9 - Chiropractic © 2012

Types of Procedures • • Acupuncture Osteopathic treatment Chiropractic treatment Therapeutic massage Collection of bodily fluids Robotic assisted surgery Computer assisted surgery © 2012

Code directly from the Code Tables • • • Saves time Few choices Chose section Chose root operation Build the code © 2012

Character Definition- Osteopathic • • 1 – Section (always 7) 2 – Body System (always W) 3 – Root Operation (always 0) 4 - Body Region 5 – Approach (always X) 6 – Method 7 – Qualifier (always Z) © 2012

Osteopathic Root Operation • Treatment – manual treatment to eliminate or alleviate somatic dysfunction and related disorders • Locate Osteopathic Treatment in the Index vs. Treatment © 2012

Body Regions and Approach • Body Region -General musculoskeletal and soft tissue regions -See Table 23. 2 • Approach -X – External -Only approach applicable to Osteopathic section © 2012

Method Values • • • Articulatory-raising Fascial release General mobilization High velocity-low amplitude Indirect Low velocity-high amplitude Lymphatic pump Muscle energy-isometric Muscle energy-isotonic Other method © 2012

Qualifier for Osteopathic • Always Z - None © 2012

Character Definition- Other Procedures • • 1 – Section (always 8) 2 – Body System 3 – Root Operation (always 0) 4 - Body Region 5 – Approach 6 – Method 7 – Qualifier © 2012

Body System and Root Operation • Body System -C - Indwelling device -E - Physiological system and anatomic regions • Root Operation -Other Procedures – Methodologies which attempt to remediate or cure a disorder or disease © 2012

Body Regions and Approaches • Body regions -General musculoskeletal and soft tissue regions -See Table 23. 5 • Approaches -0 -3 -4 -7 -8 -X Open Percutaneous endoscopic Via natural or artificial orifice endoscopic External © 2012

Methods • • Acupuncture Therapeutic massage Collection Computer assisted procedure Robotic assisted procedure New infrared spectroscopy (NIRS) Other Method © 2012

Computer and Robotic Assisted • Additional code for computer assisted or robotic assisted • Primary procedure coded separately © 2012

Qualifiers • Bodily fluid – E. g. sperm and breast milk • Detail about methods – E. g. anesthesia with fluoroscopy • Body parts – E. g. prostate and rectum • See Table 23. 8 © 2012

Character Definition- Chiropractic • • 1 – Section (always 9) 2 – Body System (always W) 3 – Root Operation (always B) 4 - Body Region 5 – Approach (always X) 6 – Method 7 – Qualifier (always Z) © 2012

Root Operation • Manipulation –Manual procedure that involves a directed thrust to move a joint past the physiological range of motion, without exceeding the anatomical limit © 2012

Body Regions and Approach • Body Region -General musculoskeletal and soft tissue regions -See Table 23. 10 • Approach -X – External -Only approach applicable to Chiropractic section © 2012

Methods • • Non-Manual Indirect Visceral Extra-articular Direct Visceral Long Lever Specific Contact Short Lever Specific Contact Long and Short Lever Specific Contact © 2012

Qualifier for Chiropractic • Always Z - None © 2012