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Case 1 Detox Care Unit Discharge Summary Patient: Zack J. Johns Age: 42 Zack was brought...

Case 1 Detox Care Unit Discharge Summary Patient: Zack J. Johns Age: 42 Zack was brought in by ambulance. He was at a party and had been drinking vodka for 4 hours and then passed out. He began to vomit, and witnesses said that it looked like “he might have had a seizure” but they were not sure. Zack's wife accompanied him to the emergency room and said that Zack does have a drinking problem and thinks he should be admitted for detoxification. Zack was admitted for detox and was moved to the detox unit. Detox was completed. ICD-10-PCS Code Assignment:

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Answer #1
  • ICD-indicates International Classification of Diseases
  • PCS-Procedure Coding System

ICD-10-PCS is one international system of classification for the medical procedures.This system maintains the inpatient procedure codes which were developed by medicaid and medicare services along with 3M health information systems in the year of 1995.This system was published by US for the classification of the inpatient procedures that are carried out in the hospital.

Structure of ICD-10-PCS:

Each procedure code consists of 7 alphanumeric codes to specify the medical procedure that can be carried out.Each code will have 0-9 numbers and the alphabets from A-H,J-N and P-Z.O and I are not include since it may confused with 0 and 1.

1-section:This indicates the procedure category like medical surgical,obstetrics,imaging studies,radiation,mental health,rehabilitation,osteopathic,laboratory,administration,placement etc.

2-body system:This indicates the anatomical region that is involved in the procedure.

3-root operation:This includes the approach used to relieve the discomfort or the problem of the patient i.e excision,drainage,abortion or delivery etc.

4-body part:This indicates the body part which have to undergo the procedure.For example lower leg or right side of the head.

5-approach:It is the technique that is used in that particular procedure.For example percutaneous route,intravenous administration etc.

6-device:Th equipment that is used to perform the procedure such as endoscope,implants,prosthesis etc

7-qualifier:This indicates the use any additional equipment or technique used in that particular procedure.

THE ICD-10-PCS CODE for Mr.Zack J Jones is HZ2ZZZZ

section: H is for the substance ubuse

body system: Z none of the body system

root of operation: 2 detoxification

body part: Z none

approach: Z none

device: Z none

qualifier: Z none

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