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

Osteopathic, Chiropractic, and Other Procedure Sections CHAPTER 34 Osteopathic, Chiropractic, and Other Procedure Sections

Osteopathic Section The Osteopathic section has a character 1 value of 7. Character 2 denotes the body system with a value of W—anatomical regions.

Osteopathic Character 3 Value The character 3 value denotes the root operation. For the Osteopathic section, there is only one root operation of treatment. Treatment is defined as manual treatment to eliminate or alleviate somatic dysfunction and related disorders.

Additional Character Values—Osteopathic Section Character 4 denotes the body region. Character 5 denotes the approach and always has a value of X for external. Character 6 specifies the method by which the manipulation is accomplished. Character 7 is not specified and always has the value of Z.

Other Procedures Section For the Other Procedures section the characters have the following meanings and values: Character 1—Section. Value of 8 Character 2—Body system. Value of C or E Character 3—Root operations. Value of 0, meaning other procedures. Other procedures are defined as methodologies that attempt to remediate or cure a disorder or disease.

Character Values for Other Procedures (cont.) Character 4—Body region. Values are unique to each table. Character 5—Approach. Values are unique to each table. Reference Tables 8C0 and 8E0

Character 6 Values for Other Procedures Character 6—Method. Table 8C0 has one value- 6 for Collection Table 8E0 has the following values: 0—Acupuncture 1—Therapeutic massage 6—Collection B- Computer Assisted Procedure C- Robotic Assisted Procedure D- Near Infrared Spectroscopy Y- Other Method

Character 7 Values for Other Procedures Character 7—Qualifier values: Examples of the values include: 0—Anesthesia 1—In vitro fertilization 2—Breast milk 3—Sperm J- Cerebrospinal Fluid The values are unique to each table. Reference Tables 8C0 and 8E0 for the specific values for each table.

Chiropractic Section Character 1 for the Chiropractic section has a value of 9. Character 2, body systems, has a value of W denoting anatomical regions. Character 3, root operation, has only one value of B for manipulation.

Chiropractic Manipulation Definition ICD-10-CM defines chiropractic manipulation in Table 9WB. Manipulation is a “manual procedure that involves a directed thrust to move a joint past the physiological range of motion, with exceeding the anatomical limit.”

Values for Chiropractic Section (cont.) Character 4—Body region values of 0 to 9 specify the body region on which the manipulation is performed. Character 5—Approach. There is only one value of X for external.

Sixth Character for Chiropractic Character 6—Method. Indicates the method by which the manipulation is accomplished. Reference Table 9WB for values. Character 7—Qualifier. Value of Z for none.

Points to Remember Osteopathic manipulation therapy (OMT) is another term used for osteopathic services. Treatment is defined in the Osteopathic Table as manual treatment to eliminate or alleviate somatic dysfunction and related disorders.

Additional Points to Remember A chiropractor is a doctor of chiropractic medicine. Chiropractic medicine treats in a manner that believes that all body functions are connected.

Final Points Chiropractic methods include: Non-manual Indirect visceral Extra-articular Direct visual Long lever specific contact Short lever specific contact Long and short lever specific contact Mechanically assisted Other method

Coding Practice Select the code for the following: Robotic assisted procedure of the head, open approach

Coding Practice Solution Main term to reference in index: Robotic Assisted Procedure Modifying term: Head and Neck Region Code Assignment: 8E090CZ (A code for the specific procedure would also be assigned.)