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Chapter 23 Osteopathic, Other Procedures and Chiropractic

International Classification of Diseases Tenth Revision Procedure Coding System (ICD-10-PCS): An Applied Approach 2012 Edition. Chapter 23 Osteopathic, Other Procedures and Chiropractic. Osteopathic, Other Procedures and Chiropractic. Section Values -7 – Osteopathic -8 – Other Procedures

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Chapter 23 Osteopathic, Other Procedures and Chiropractic

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  1. International Classification of Diseases Tenth Revision Procedure Coding System (ICD-10-PCS): An Applied Approach2012 Edition Chapter 23 Osteopathic, Other Procedures and Chiropractic

  2. Osteopathic, Other Procedures and Chiropractic • Section Values -7 – Osteopathic -8 – Other Procedures -9- Chiropractic

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

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

  5. 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)

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

  7. 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

  8. 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

  9. Qualifier for Osteopathic • Always Z - None

  10. 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

  11. 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

  12. Body Regions and Approaches • Body regions -General musculoskeletal and soft tissue regions -See Table 23.5 • Approaches -0 Open -3 Percutaneous -4 Percutaneous endoscopic -7 Via natural or artificial orifice -8 Via natural or artificial orifice endoscopic -X External

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

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

  15. 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

  16. 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)

  17. 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

  18. 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

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

  20. Qualifier for Chiropractic • Always Z - None

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