Title: Extracorporeal Assistance, Performance, and Therapies
Course: Intermediate Coding and Classification Systems > Section: Module 13: Extracorporeal Assistance, Performance, and Therapies

Introduction

Your next assignment is to read and cover the materials for Chapters 22 and 23. Chapter 22 will discuss Extracorporeal Assistance, Performance, and Therapies which can include these types of procedures:

1. Extracorporeal membrane oxygenation
2. Cardiopulmonary bypass
3. Ventilator management
4. Shock wave therapy to the plantar fascia
5. Hyperbaric wound therapy

The root operations used are Assistance, Performance, and Restoration for the first two sections. The root operations (10) for therapies are different and are listed on Table 22.6. Read through the examples and definitions for each root operation in this section. Chapter 23 covers Osteopathic, Other Procedures and Chiropractic Sections to include:

1. Acupuncture
2. Osteopathic treatment
3. Chiropractic manipulation
4. Therapeutic message
5. Collection of body fluids
6. Robotic assisted surgery
7. Computer assisted surgery

When coding procedures categorized in the Osteopathic section, use the term Osteopathic Treatment in the index to locate the procedure code, instead of the root operation name Treatment. The Approach character value is always X- External. The qualifier for the Osteopathic section is always Z- None.

When coding procedures in the Chiropractic section, use the term Chiropractic Manipulation, to locate the procedure code instead of the root operation name, Manipulation.

Chiropractic Section has one root operation- Manipulation.

Course Outcomes

- Describes the basic coding steps for coding medical procedures in both ICD-9-CM and ICD-10-PCS. (1)
- Interprets the basic coding guidelines established by the American Hospital Association for both ICD-9-CM and ICD-10-PCS. (2)
- Converts medical documentation into both ICD-9-CM and ICD-10-PCS codes. (3)
- Applies the official coding guidelines to the coding of medical procedures for all body systems (circulatory, respiratory, musculoskeletal, urinary, blood organs, reproductive, gastrointestinal, etc.) (4)
- Resolves discrepancies in medical documentation and accurate code assignment through the physician query process. (5)
- Analyzes medical documentation to assign accurate codes for reimbursement of health care services. (6)
- Evaluates and assigns accurate medical procedure codes through analysis of case studies. (7)
- Compares and contrasts the differences between the ICD-9-CM and ICD-10-PCS classification systems. (8)

Objectives

Upon completion of this module you should be able to:

- List types of procedures coded in the Extracorporeal Assistance and Performance and Extracorporeal Therapies sections.
- Describe the character definitions for both of the sections, including those that differ from the Medical and Surgical section.
- Identify the three root operations used in the Extracorporeal Assistance and Performance section, distinguishing between Assistance and Performance and the use of Restoration in cardioversion.
- Discuss the duration values used in the Extracorporeal Assistance and Performance section and specify the three possibilities for mechanical ventilation duration values.
- Discuss the meaning of the qualifiers used in the Extracorporeal Assistance and Performance section.
- List the 10 root operations for the Extracorporeal Therapies section.
- Discuss the values for the body systems, duration, and 6th and 7th character qualifier values in the Extracorporeal Therapies section.
- Identify the single root operations used in the Osteopathic section, Treatment.
- Describe the method values for Osteopathic procedures.
- List the two body systems available in the Other Procedures section.
- Discuss the method values for the Other Procedures section.
- Distinguish between ICD-10-PCS codes for computer assisted and robotic assisted and the primary procedure.
- List the definition of the sole root operation for Chiropractic procedures, Manipulation.
- Describe the method values for Chiropractic procedures.

Readings & Resources

- Chapters 22 and 23
- Complete all exercises and check your answers
- Review Coding Guidelines on root operations
- Read Coding Tips