Mary Jo Bowie MS, BS, AAS, RHIA, RHIT

Measurement and Monitoring Section CHAPTER 32 Measurement and Monitoring Section

Measurement and Monitoring Section The fifth section within ICD-10-PCS is the Measurement and Monitoring section. The character 1 value for the Measurement and Monitoring section is 4.

Character 2—Body System The value of character 2, body system, has two values for the Measurement and Monitoring section. A—Physiological systems B—Physiological devices

Character 3—Root Operations For the Measurement and Monitoring Section, there are two root operations used: Measurement—Value of 0 Monitoring—Value of 1

Root Operation Definitions Measurement—Determining the level of a physiological or physical function at a point in time Monitoring—Determining the level of a physiological or physical function repetitively over a period of time

Body System/Region—Character 4 Character 4 in the Measurement and Monitoring section indicates body system that is being measured or monitored. The values vary according to each table but identify a body system.

Approach—Character 5 There are six approach values for the Measurement and Monitoring section. Use varies according to each table: 0—Open 3—Percutaneous 4—Percutaneous endoscopic

Additional Approach Values 7—Via natural or artificial opening 8—Via natural or artificial opening endoscopic X—External

Character 6—Function For the Measurement and Placement section the sixth character indicates the physiological or physical function being measured or monitored.

Additional Code Assignment If a device used for measurement and monitoring is inserted and left in the body, then the insertion of the device is coded as a separate procedure from the Medical and Surgical Section.

Character 7—Qualifiers For the Measurement and Monitoring section, the qualifier value varies according to the table that is being used. The specific qualifier values further specify the body part of a variation of the procedure performed.

Key Points to Remember The first character value for the Measurement and Monitoring section is 4. The second character value for the Measurement and Monitoring section has two possible values. The third character value has two possible values indicating the root operation.

Additional Points The fourth character value in the Measurement and Monitoring section varies according to the physiological system or physiological device. The fifth character value in the Measurement and Monitoring section has six possible values.

Final Points For the sixth character in the Measurement and Monitoring section, the physiological or physical function being measured or monitored is identified. For the seventh character value for the Measurement and Monitoring section, the value indicates the specific body part or variation of the procedure performed.

Coding Practice Select the code for the following: Cardiac Stress Test, single measurement

Coding Practice Solution Main term to reference in index: Measurement Modifying term: Total Activity, Stress Code Assignment: 4A02XM4