Certified Outpatient Coder (COC) Practice Exam 2025 – Comprehensive Test Prep

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What determines the broad category in an ICD-10-PCS code?

Section

The broad category in an ICD-10-PCS code is determined by the section of the code. In the ICD-10-PCS coding system, each section corresponds to a specific type of procedure or service provided, such as medical and surgical procedures, imaging, or obstetrics. For instance, the "Medical and Surgical" section includes a variety of codes for surgical interventions, while the "Imaging" section covers diagnostic imaging procedures.

Each section is organized to reflect a different type of healthcare service. By categorizing codes into sections, it helps coders and healthcare providers quickly identify the nature of the procedure being documented. This structured approach not only aids in reporting accurate information but also facilitates data analysis for healthcare management and research.

The other elements, such as body part, root operation, and pathologic condition, contribute to more specific details within the code but do not define the broad category itself. The body part indicates where the procedure is performed, the root operation describes the intent of the procedure, and the pathologic condition refers to the diagnosis being addressed. Together, these elements provide a complete understanding of the procedure, but the initial categorization is fundamentally tied to the section.

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Body part

Root operation

Pathologic condition

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