Dual Coding: Shifting Focus To Root Operations

As more hospitals undertake dual coding in advance of ICD-10, evidence is emerging that suggests clinical documentation may not be the only weak link in the transition. Many are discovering that coders are struggling with the correct selection of the 31 PCS root operations. Dual coding programs are highlighting for many facilities the significant need for advanced PCS training, especially in cardiovascular, muscular skeletal, and obstetrics. A recent pilot undertaken by Amphion revealed more than half of the surgical procedure code errors were attributed to the incorrect selection of the “root operation.” By Minnette Terlep, BS, RHIT, VP of business development and chief compliance officer, Amphion Medical Solutions