ICD-10-PCS root operations depend on determining intent

Carl Natale
by Carl Natale
ICD-10-PCS root operations depend on determining intent

"Do what I want, not what I say," expresses the frustration of many people when they don't get the result intended. This seems to be especially common when using computers.

It's also worth remembering when using clinical documentation to assign ICD-10-PCS codes. That's because medical coders need to start with the root operations based upon the “intent of the procedure” not the language used in documentation. That's because clinicians may not be familiar with the updated ICD-10-PCS definitions from the Centers for Medicare and Medicaid Services (CMS).

It's up to the medical coders to determine from the clinical documentation to determine intent when clinicians aren't using the terms consistent with the names of the root operations.

Here's a round up of recent articles and posts on how to code diagnoses and procedures in ICD-10:

This is a weekly feature that I use to highlight practical tips on how to use and understand ICD-10-CM/PCS codes. Please let me know of any other sources that I can include.