ICD-10-PCS Ancillary Section “Have No Fear, ICD10 Is Here” March 5-6, 2014 Patricia A. Gowan, RHIA, CPC, AHIMA Approved ICD-10-CM/PCS Trainer ANCILLARY SECTION • Imaging – B • Nuclear Medicine – C • Radiation Therapy – D • Physical Rehabilitation and Diagnostic Audiology – F • Mental Health - G • Substance Abuse Treatment – H 2 IMAGING B00-BY4 3 Imaging Section - B Seven Characters Character 1 Character 2 Character 3 Character 4 Character 5 Char 6 Char 7 Section Body Root Type Body Part Contrast Qualifier Qualifier Imaging System B 4 Imaging Character Meanings • Character 2 defines the body system (e.g., Heart or Gastrointestinal system). • Character 3 defines the type of imaging procedure: • Computerized Tomography (CT) • Fluoroscopy • Magnetic Resonance Imaging (MRI) • Plain Radiography • Ultrasonography • Nuclear medicine procedures, PET, uptakes, and scans are in the Nuclear Medicine Section. 5 Character Meanings • Character 4 defines the body part with different values for each body system. • Character 5 specifies whether the contrast material used is High or Low Osmolar, when applicable. • Character 6 (Qualifier) provides further detail of the substance or technologies used, such as Unenhanced and Enhanced (contrast) or Laser. • Character 7 (Qualifier) may be used to specify the method by which the procedure was performed, or technologies utilized, such as Intraoperative, Intravascular, or Transesophageal. 6 Coding Case • Chest x-ray, AP/PA and lateral views. 7 Answer • BW03ZZZ • Root Type: Plain Radiography • Index: Plain Radiography, Chest BW03ZZZ • Chest x-ray see Plain Radiography, Chest BW03 8 Section: Imaging Root Type: Plain Radiography BW03ZZZ Character 1 Character 2 Character 3 Character Character Character 6 Character 7 4 5 Section Body Root Type Body Part Contrast Qualifier Qualifier Imaging System Plain Rad Chest None None None Anatomical Regions B W 0 3 Z Z Z 9 NUCLEAR MEDICINE C01-CW7 10
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