Question

ICD-10-PCS ASSIGNMENT for these patients:

75-year-old male who has a total prostatectomy for prostate cancer;

45-year-old female who has a laparoscopic cholecystectomy for cholelithiasis;

67-year-old female with CHF and DM type 2, no procedures.

*Codes for each of the 3 cases.

*Ease of use - specifically how difficult did you find it to get to the code(s). Did you find the logic of the encoder confusing? If so, why? Were you unable to find any of the codes? Which ones.

*Resources - What resources are available? Did you find them useful in the code choice(s)?

*Did you notice a DRG assignment with accompanying payment information? What about an option for ICD-10 codes? Which systems provided these, if any?

*What is a POA? Did you assign it for each diagnosis? Is it required?

*Finally, a paragraph on which of the three systems you prefer and why?

Answer 1

ICD -10- PCs codes

Prostate cancer - c61

Total prostatectomy CPT code 55866

Laparoscopic cholecystectomy CPT code 47562

Cholelithiasis ICD -10- pcs code k80

CHF( congestive heart failure) ICD -10- pcs code I 50.9

DM type 2 E11

We must understand the codes which we must code first..need to read carefully whether we need procedure code or pcs codes..we can make this easy to find out the codes with 5steps process..

- alphabetical index to identify the term..for example congestive heart failure..so search with heart failure then go with subdivision and search for congestive..

- check the tabular list.example fracture right forearm.. diagnostic codes some time needs sixth and seventh charector to represent the sides..

- read the code requirements carefully.

- if it is an injury or special condition like gluacoma need seventh charector to mention the severity..

A for initial encounter

D for subsequent encounter

S for sequela .

CDI( clinical documentation improvement) specialist will care encoder using ms-DRG based (diagnostic related grouping) many Medicare and health insurance companies pay hospitals using DRGs..hospital gets paid based on the diagnosis of patient ..this DRG following this ICD-10 system codes to make the encoder..

POA is a present on admission..DRG needs to capture POA for their claims in patient admission,in this cases POA reporting used for one case that showing current disease that is always present on admission (CHF and type 2DM)