ICD-10-PCS:
Define Your Physician's Approach Using PCS Code's 5th Character
Published on Mon Jun 11, 2012
You have seven potential options. Every ICD-10-PCS code has seven characters, each character defining one aspect of the procedure performed. Together, they give a complete picture. You should choose your fifth character based on the physician's approach. Definition: "Approach" refers to the technique a physician uses to reach the site of the procedure. ICD-10-PCS offers the following options for identifying the approach: Here is how you should define each of these approaches: Open: The physician cuts through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure. Percutaneous: The physician gains entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure. Percutaneous endoscopic: The physician gains entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers [...]