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1 ICD-10-PCSP hysical Rehabilitation 2015 Anthelio Healthcare Solutions Inc. Proprietary and confidential. All Rights ICD-10 ExpressLearnThe ICD-10-PCS Official Guidelines for Coding and Reporting 2016 do not provide us with any specific direction when coding Physical rehabilitation cases. Knowing this, we then must use the information found in the introduction to the Guidelines which states, The instructions and conventions of the classification take precedence over guidelines. When looking up the term Rehabilitation in the index of ICD-10-PCS we find the following:Rehabilitation see Speech Assessment, Rehabilitation F00 see Motor Function Assessment, Rehabilitation F01 see Activities of Daily Living Assessment, Rehabilitation F02 see Speech Treatment, Rehabilitation F06 see Motor Treatment, Rehabilitation F07 see Activities of Daily Living Treatment, Rehabilitation F08 see Hearing Treatment, Rehabilitation F09 see Cochlear Implant Treatment, Rehabilitation F0B see Vestibular Treatment, Rehabilitation F0C see Device Fitting, Rehabilitation F0D see Caregiver Training, Rehabilitation F0 FAll the codes are in Section F, Physical Rehabilitation and Diagnostic Audiology.

2 So let s take a look at the 1, Section: F is the value that represents Physical Rehabilitation and Diagnostic Audiology as the first character. Physical Rehabilitation and Diagnostic Audiology contains character definitions for characters 2-6 which are unlike the other sections in ICD-10-PCS . Character 2, Section Qualifier: Specifies whether the procedure is a rehabilitation or diagnostic audiology 3, Root Type: Defines the general procedure root type. There are currently fourteen (14) root types in the Physical Rehabilitation and Diagnostic Audiology Section. The Root Types will fit into one of four broad categories: 1. Treatment: Use of specific activities or methods to develop, improve and/or restore the performance of necessary functions, compensate for dysfunction and/or minimize debilitation 2.

3 Assessment: Includes a determination of the patient s diagnosis when appropriate, need for treatment, planning for treatment, periodic assessment and documentation related to these activities 3. Fitting(s): Design, fabrication, modification, selection and/or application of splint, orthosis, prosthesis, hearing aids and/or rehabilitation device 4. Caregiver Training: Educating caregiver with the skills and knowledge used to interact with and assist the patientCharacter 4, Body System and Region: Defines the body system or body region studied, which may be combined, where 5, Type Qualifier: This character further specifies the procedure 6, Equipment: This character specifies the equipment used, if any.

4 This is an exception to the rule that in ICD-10-PCS , equipment used to assist in the performance of the procedure is not 4, 2015 Vol. 20 PyramidHealthcare SolutionsHALO ICD-10 ExpressLearn 2015 Anthelio Healthcare Solutions Inc. Proprietary and confidential. All Rights 7, No Qualifier: This character is a qualifier, and is not specified in the Physical Rehabilitation and Diagnostic Audiology Section. Currently the only value choice available for this character is: Z s work with a scenario that would fall under category : Inpatient rehabilitation, patient receiving wound care treatment of left calf ulcer, down to the muscle, using pulsatile lavage.

5 F08L5 BZLet s break down the character selections as we build our SolutionsICD-10-PCS TableSection F Physical Rehabilitation and Diagnostic AudiologySection Qualifier 0 RehabilitationType 8 Activities of Daily Living Treatment: Exercise or activities to facilitate functional competence for activities of daily living Body System / Region Type Qualifier Equipment QualifierD Integumentary System Head and NeckF Integumentary System Upper Back / Upper ExtremityG Integumentary System Lower Back / Lower Extremit yH Integumentary System Whole Body J Musculoskeletal System Head and Neck K Musculoskeletal System Upper Back / Upper ExtremityL Musculoskeletal System Lower Back / Lower ExtremityM Musculoskeletal System Whole BodyB

6 Physical AgentsC MechanicalD ElectrotherapeuticE OrthosisF Assistive, Adaptive Supportive or ProtectiveU Prosthesis Y Other Equipment Z NoneZ None5 Wound Management ICD-10-PCS IndexActivities of Daily Living Treatment, Rehabilitation F08 September 4, 2015 Vol. 20 halo ICD-10 ExpressLearn 2015 Anthelio Healthcare Solutions Inc. Proprietary and confidential. All Rights Character 1, Section: F Physical Rehabilitation and Diagnostic Audiology Character 2, Section Qualifier: 0 Rehabilitation Character 3, Root Type: 8 Activities of Daily Living Treatment: Exercise or activities to facilitate functional competence for activities of daily livingCharacter 4, Body System and Region.

7 L Musculoskeletal System -Lower Back / Lower Extremity - This was a calf ulcer down to muscle tissue, and is therefore deeper than the Integumentary SystemCharacter 5, Type Qualifier: 5 Wound Management Treatment of the calf ulcerCharacter 6, Equipment: B Physical Agents The wound is being treated by the lavage liquid, a Physical agent, not by mechanical means such as debridementCharacter 7, No Qualifier: Z NoneLet s work with a scenario that would fall under category : Inpatient rehabilitation, patient receiving articulation and phonology assessment using spectrograph F00Z9 QZAgain, let s break down the character selections as we build our SolutionsThe first three characters given to the coder in the ICD-10-PCS Index{ ICD-10-PCS IndexAssessment Speech see Speech Assessment, Rehabilitation F00 Speech Assessment F00 Section F Physical Rehabilitation and Diagnostic AudiologySection Qualifier 0 RehabilitationType 0 Speech Assessment.}

8 Measurement of speech and related functions Body System / Region Type Qualifier Equipment QualifierZ NoneK AudiovisualP ComputerQ Speech AnalysisY Other EquipmentZ NoneZ None9 Articulation/PhonologyICD-10-PCS TableSeptember 4, 2015 Vol. 20 halo ICD-10 ExpressLearn 2015 Anthelio Healthcare Solutions Inc. Proprietary and confidential. All Rights Solutions Character 1, Section: F Physical Rehabilitation and Diagnostic Audiology Character 2, Section Qualifier: 0 Rehabilitation Character 3, Root Type: 0 Speech Assessment: Measurement of speech and related functionsCharacter 4, Body System and Region: Z None - None are applicableCharacter 5, Type Qualifier: 9 Articulation/Phonology The definition found in the Definitions section of the ICD-10-PCS Codebook is, Measures speech production.

9 Character 6, Equipment: Q Speech Analysis - To understand why this selection is made we need to understand what a spectrograph is, A sound spectrograph is a laboratory instrument that displays a graphical representation of the strengths of the various component frequencies of a sound as time passes. Character 7, No Qualifier: Z NoneNext, let s work with a scenario that would fall under category Fitting(s).Scenario: Inpatient rehabilitation, patient receiving individual fitting of moveable brace, right knee. F0DZ6 EZICD-10-PCS TableOnce more, let s break down the character selections as we build our first three characters given to the coder in the ICD-10-PCS Index{ ICD-10-PCS IndexDevice Fitting F0 DZSection F Physical Rehabilitation and Diagnostic AudiologySection Qualifier 0 RehabilitationType D Device Fitting.}

10 Fitting of a device designed to facilitate or support achievement of a higher level Body System / Region Type Qualifier Equipment QualifierZ NoneE OrthosisF Assistive, Adaptive, Supportive or ProtectiveU ProsthesisZ NoneZ None6 Dynamic Orthosis7 Static Orthosis8 Prosthesis9 Assistive, Adaptive, Supportive or Protective DevicesSeptember 4, 2015 Vol. 20 halo ICD-10 ExpressLearn 2015 Anthelio Healthcare Solutions Inc. Proprietary and confidential. All Rights , let s work with a scenario that would fall under category Caregiver : Caregiver training in feeding, no special equipment used F0FZ2 ZZPyramidHealthcare Solutions Character 1, Section: F Physical Rehabilitation and Diagnostic Audiology Character 2, Section Qualifier: 0 Rehabilitation Character 3, Root Type: D Device Fitting: Fitting of a device designed to facilitate or support achievement of a higher level of function Character 4, Body System and Region.