Directions
This assignment asks you to review scenarios and assign the correct ICD-10-PCS code your code book.
Select the assignment document below to view more detailed instructions to complete this assignment. Refer to the rubric at the end of the document to see how your work will be graded.
MCCG135 ICD Procedural Coding
ICD-10-PCS Code Assignment Scenarios
Course, Program, and Institutional Outcome(s) Assessed:
This assignment measures your ability to meet the follows outcome(s):
- Course outcome: Employ both manual and electronic resources to accurately code and sequence information from patient health records using the ICD-10-PCS classification system
- Program outcome: Demonstrate knowledge and skills employers expect of new hires entering the career field
- Program outcome: Demonstrate competency to assemble, process, maintain, store, abstract, analyze, index, and retrieve health information data
- Institutional outcome – Relational Learning: Transfer knowledge, skills, and behaviors acquired through formal and informal learning and life experiences to new situations
Relevant Background Information:
Coders review patient records, identify what information they need to abstract from the documentation, and then assign the correct code(s) to that information. This is a critical skill that you need to develop before you begin working as a medical coder.
Assignment Purpose:
This assignment asks you to review scenarios and assign the correct ICD-10-PCS code using a computerized encoder.
Assignment Directions;
Imagine that you were recently promoted from an entry level coder to an inpatient coder in the University Hospital coding department. Your supervisor is happy with your level of ICD-10-PCS assignment on short scenarios and now provides you with longer case scenarios to code.
Follow the steps below to complete this assignment:
- Access Find-A-Code in the AHIMA Vlab by following these steps:
- Select the link to the Vlab link from your course in Blackboard.
- Select the Find-A-Code link from the vLab home page.
- You are now on the Find-A-Code homepage. Select ICD-10-PCS Codes at the top.
- Select ICD-10-PCS Index
- Select the Index dropdown menu for Procedure Code Sets: ICD-10-PCS Index. Use Find-A-Code to look up your ICD-10-PCS codes by typing the root operation for each procedure. Type the first few letters for the root operation in the box and press Enter on your keyboard.
- Review the scenarios in the chart below. For each scenario, identify which medical term(s) or phrase(s) you will use to code and its appropriate root operation.
- Use Find-A-Code to assign the correct ICD-10-PCS code(s) to the scenarios in the attached chart. Type your answers directly into the chart.
- Review the attached rubric to determine how your work will be graded.
- Submit your work by the designated due date.
| Scenario | ICD-10-PCS Code |
| 1. Jason Adams is a 65-year-old smoker with hypertension and COPD. He was at home today when he collapsed. He was brought to the ER where it was determined that he had a stroke or cerebrovascular accident (CVA). Dr. Jones admitted Mr. Adams and wanted to run some more tests. The following day, a speech therapist came into his room and completed am instrumental swallowing and oral function assessment before he would be allowed to eat. What is the correct ICD-10-PCS code assignment? | |
| 2. Octavia Olson has been admitted for severe anemia due to epistaxis. Dr. Hallstone decided it would be best to try to control her bleeding via surgery, and Octavia was taken to the OR where an anterior and posterior nasal packing was performed without any complications. Octavia was sent to recovery and post-op day 1 is going well. She was discharged home in the care of her spouse. What is the correct ICD-10-PCS code assignment? | |
| 3. Sally Steslee is a 33-year-old female who is currently at 39 weeks gestation. Sally is a Gravida 4 Para 3 and is in active labor with her contractions 5-7 minutes apart. Sally is taken to labor and delivery, where an exam was completed and she was completely effaced and dilated to a 4. The physician comes into check on her progress an hour later, and she is still only dilated to a 4. The physician then performs an artificial rupture of membranes (AROM) to help progress her labor. The physician checks back an hour later and finds Sally is completely dilated and ready for delivery. The physician assists in the delivery of a healthy single liveborn female. Sally did not have any complications of delivery and she and her baby are discharged to home the next day. What is the correct ICD-10-PCS code assignment? | |
| 4. Jane Doe was brought into the ER via ambulance as she was found unresponsive in an alley after being attacked. Jane had many broken bones and intra-abdominal injuries. Jane had a very faint heart beat and shallow respirations. She was admitted and taken to the OR for exploratory surgery. After the surgery began, her heart stopped beating. The surgeon immediately began an open cardiac massage, but he could not revive Jane. Jane was pronounced dead, and the investigating law enforcement agency was notified. What is the correct ICD-10-PCS code assignment? | |
| 5. Robert Ridell has been struggling with severe HTN, morbid obesity, and DM for years and is being admitted for a bypass. Robert is taken to the OR, where a percutaneous endoscopic gastrostomy bypass to the Ileum is completed without any complications. What is the correct ICD-10-PCS code assignment? | |
| 6. Marian Marietta is a 45-year-old female who found a breast lump in October in her right breast. The lump was biopsied and was found to be Stage II Carcinoma. Dr. Clive discussed treatment options with Marian, and she decided to undergo a right mastectomy. Marian was admitted for the right mastectomy and was taken to the OR. She was prepped, draped, anesthetized, and placed in the supine position. A vertical incision was made around the right breast. The entire breast was removed and sent to pathology for review. The incision was closed with 2-0 Vicryl. Mary was extubated and transferred to the recovery room. The next day, the pathology report findings indicated the margins are clear, and Dr. Clive is confident that they were able to remove all of the malignant tissue. Marian was discharged to home and will follow-up in 2 weeks at Dr. Clive’s Office. What is the correct ICD-10-PCS code assignment? | |
| 7. Joseph Johnson is a 63-year-old male who was diagnosed with bladder cancer three weeks ago. He was referred to Dr. Keller, an oncologist, who feels that Joseph is a good candidate for brachytherapy. Joseph is admitted to the cancer hospital today and taken to the OR suite for brachytherapy. Dr. Keller inserts the radioactive impacts around Joseph’s bladder using High Dose Rate (HDR) of Cesium 137 (Cs-137). Joseph tolerates the procedure well and is taken to the recovery room. The next evening, Joseph is discharged home with the care of his wife and will follow back up in one week. What is the correct ICD-10-PCS code assignment? | |
| 8. Marcus Neogelly is a four-year-old who has not been completing normal growth milestones for about one year. His pediatrician was concerned and sent him to Dr. Eolis, a pediatric endocrinologist. Dr. Eolis completed a CT scan and MRI and determined that Marcus has a growth on his pituitary gland. Marcus is admitted today at Children’s Medical Center, where he is going to have the growth removed. Marcus is prepped, draped, and provided general anesthesia. A one-inch incision is made and the area is opened. The growth is identified and removed successfully. The growth measures 3 cm x 1 cm and is sent to pathology for review. Marcus is sent to recovery and discharged the next day with his parents. Dr. Eolis will call the parents when the pathology report comes back to discuss the growth and plan of treatment. What is the correct ICD-10-PCS code assignment? | |
| 9. Morgan Miller is a 78-year-old male who has been battling with urinary frequency and nocturia and suffers from benign prostatic hypertrophy. He is admitted today to undergo a TURP, or transurethral resection of his prostate. Morgan is taken to the OR, where he is placed in the supine position and general anesthesia is administered. Dr. Hillson inserts the scope through the urethra and, using the scope, removes the prostate and sends it to pathology. Morgan is extubated, allowed to wake-up, and then is taken back to his room. He is discharged on post-op day 2 and will follow-up with Dr. Hillson next week. What is the correct ICD-10-PCS code assignment? | |
| 10. Shannai Sorenson is a 48-year-old female who is suffering from Crohn’s Disease and has been for about five or six years. Shannai is unable to complete many activities in her life, and the medication and diet adjustment does not seem to be helping. She is admitted today for a colectomy with colostomy of the affected part of her colon. She is taken to the OR, prepped, draped, and placed in the supine position. A laparotomy is made into her abdomen to reveal the colon. The colon is identified, and the sigmoid colon is removed with creation of a colostomy from the sigmoid colon to the rectum. The colostomy is secured in place. The procedure is completed without any complications. Shannai is taken back to her room to recover and is discharged back to home on post-operative day 3. What are the correct ICD-10-PCS codes assigned? | |
| 11. 29-year-old Camille Crimson is admitted today at 40 weeks gestation for a C-section delivery. This is her third C-section, and she wishes to not have any more children. Camille is taken to the OR, where a low cervical transverse C-section is completed and a healthy single male infant is born without any complications. As soon as the delivery is completed, Dr. Jones completes a bilateral tubal ligation that will prevent Camille from conceiving any more children, per her request. Camille and baby are taken to the room and discharged on day 3 to home. What are the correct ICD-10-PCS codes assigned? | |
| 12. Samuel Simpson is an active 62-year-old male who has been suffering from left hip pain and osteoarthritis (OA) for years now. He has tried all conservative therapy, such as injections and physical therapy, but is not getting any relief. He is admitted today for a total hip replacement of his left hip. He is taken to the OR, prepped, draped, anesthetized, and placed in the supine position. An incision is made over his left hip, and then the hip is removed and replaced with a ceramic synthetic substitute, which is cemented in place. Samuel is extubated, awakened, and taken to his room. The next day, is he up walking, and on post-op day 3 he is discharged to home with a home health aide. What is the correct ICD-10-PCS code assignment? | |
| 13. Beverly Crowder was brought to the ER with right lower quadrant pain. Labs were drawn, which revealed elevated WBCs. Beverly was admitted with suspected appendicitis and taken to the OR. After Beverly was prepped, draped, and anesthetized, a laparotomy was performed. The abdominal cavity was entered, and the appendix was identified. It appeared inflamed and was removed and sent to pathology. The incision was closed, and Beverly was taken to recovery. The next day, the pathology report revealed acute appendicitis. Beverly was discharged to home and will follow-up with her surgeon in 2 weeks. What is the correct ICD-10-PCS code assignment? | |
| 14. Justin Jeestug has been complaining of pain in his left thigh. His wife convinced him to come to the ER, as his leg is quite swollen. The ER physician examines Justin and calls in a surgeon to complete a consultation. The surgeon decides to admit Justin and take him to surgery immediately, as a thrombus is suspected. Justin is prepped, draped, and anesthetized. An incision is made over his left thigh, and a thrombectomy is completed of the left femoral artery. The incision is sutured with 2-0 vicryl, and Justin is sent to recovery. He is discharged home the next day and will follow-up in 1 week. What is the correct ICD-10-PCS code assignment? | |
| 15. Kalley Keller has End Stage Renal Disease and is currently on the kidney transplant list. She is admitted today for hemodialysis. She is taken to the hemodialysis unit, where she receives hemodialysis for 10 hours. What is the correct ICD-10-PCS code assignment? |
MCCG135 ICD Procedural Coding
ICD-10-PCS Code Assignment Scenarios Rubric
| Level 3 | Level 2 | Level 1 | Level 0 | |
| 95-80.75 | 80.74-66.50 | 66.49-61.75 | 61.74-0 | |
| Assignment of ICD-10-PCS code | Student correctly assigned the PCS code for at least 13 scenarios. A maximum of two scenarios contain incorrect PCS codes. | Student correctly assigned the PCS code for 10-12 scenarios. Three-to-five scenarios contain incorrect PCS codes. | Student correctly assigned the PCS code for nine scenarios. Six scenarios contain incorrect PCS codes. | Student correctly assigned the PCS code for eight or less scenarios. Seven or more scenarios contain incorrect PCS codes. |
| 5-4.25 | 4.24-3.50 | 3.49-3.25 | 3.24-0 | |
| Institutional Outcome | Relational Learning:
Work indicates that the student has exceeded expectations for this institutional outcome. |
Relational Learning:
Work indicates that the student has successfully met expectations for this institutional outcome. |
Relational Learning:
Work indicates that the student has partially met expectations for this institutional outcome. |
Relational Learning:
Work indicates that the student has not or scarcely met expectations for this institutional outcome. |
| Final Score: | Comments:
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