ICD-10-PCS Surgical Root Operation Conversion Table

Transcription

1 ICD-10-PCS Surgical Root Operation Conversion Table Documented Procedure PCS Root Operation Key Objective of Procedure/Comment COMMON SUFFIXES -centesis Drainage 9 -desis Fusion G -ectomy Excision B Cutting out or off, without, a portion Resection T Cutting out or off, without, all of a -exeresis Extraction D -lysis Release N -oscopy Inspection J -otomy Division 8 Cutting into w/o taking out fluids and/or gases to separate or transect a Drainage 9 Taking out fluids and/or gases -pexy Reposition S Move to a new location (e.g., free flaps) -plasty Supplement U Putting in/ on biologic/synthetic material to reinforce and/or augment the function. -plication Restriction V -rraphy Repair Q -stasis Control 3 -tripsy Fragmentation F COMMON PROCEDURES Adenoidectomy partial Excision B Coded separately from concomitant tonsillectomy total Resection T Coded separately from concomitant tonsillectomy Adhesiolysis Release N Advancement (flap) Reposition S Move to a new location (e.g., free flaps) Transfer X Move to another location to take over the function, still connected to its vascular and nervous supply Amniocentesis Drainage 9 See table 1Ø9 Amputation (extremity) Detachment 6 Anastomosis Bypass 1 Aneurysm clipping Restriction V Angiocardiography (e.g., with Plain Radiography Ø See table B2Ø cardiac cath) Angioplasty Dilation 7 Expanding orifice or lumen (e.g., PTCA)

2 function Annuloplasty with ring Supplement U Antrostomy Drainage 9 Arthrocentesis Drainage 9 Arthroplasty function Arthroscopy Inspection J Aspiration Drainage 9 Banding Restriction V Biopsy Drainage, Diagnostic 9 Taking out fluids and/or gases Excision, Diagnostic B Cutting out a portion of a Extraction, Diagnostic D Pulling out or a portion off a Blepharoplasty Reposition S Move to a new location retaining normal function function Bone marrow, biopsy Extraction D Bone marrow, transplant Administration/Transfusion 2 See table 3Ø2 Bunionectomy Excision B 4 th character Body Part = N or P Metatarsal, Right or Left Calculus removal Extirpation C Capsulorrhaphy, joint Repair Q Cardiac catheterization, diagnostic Measurement Ø See table 4AØ2 Carpal tunnel repair Release, Median nerve N Caesarean section Extraction D 4 th character Body Part = Ø Products of Conception Cauterization Destruction 5 Physical eradication by the direct use of energy, force or a destructive agent Chemoembolization Introduction Ø See table 3EØ Chemotherapy infusion Introduction Ø See table 3EØ Clamping Occlusion L Clipping (e.g., aneurysm) Restriction V

3 Closure Occlusion L Completely closing an orifice or the lumen Coagulation Destruction 5 Colonoscopy, diagnostic Inspection J 4 th character Body Part = D Lower Intestinal Tract Colostomy Bypass, colon 1 Altering route of passage of contents of a tubular ; Body System GI Drainage 9 Taking out fluids and/or gases Compression Restriction V Crushing, nerve Destruction 5 Cryoablation Destruction 5 Cryotherapy Destruction 5 Curettage Excision B Cutting out or off, without, a portion of a Extraction D Pulling or stripping out by the use of force Cystocele repair Repair Q 2 nd character = J Subcutaneous Tissue & Fascia; 4 th character Body Part = C Pelvic Region Cystoscopy (diagnostic) Inspection J Debridement excisional Excision B non-excisional Extraction D Denervation Destruction 5 Dilation & Curettage Extraction D Disarticulation Detachment 6 Discectomy, diskectomy Excision B Cutting out or off, without, a portion of a Resection T Cutting out or off, without, all of a Diversion Bypass 1 Diverticulectomy Excision B 2 nd character Body System = D Gastrointestinal System Elevation, bone fragments, skull Reposition S Embolectomy Extirpation C Embolization Occlusion L Endarterectomy Extirpation C 2 nd character Body System = 3 or 4, Upper or Lower Arteries Endometrial biopsy Extraction D Enucleation, eyeball, w/o implant Resection T w/ implant Replacement R Episiotomy Division 8 2 nd character Body System = W Anatomical Regions, General ERCP Fluoroscopy See table BF1 ESWL Fragmentation F Evacuation hematoma Extirpation C other fluid Drainage 9 Evisceration, eyeball, w/o implant Resection T w/ implant Replacement R

4 Medical & Surgical Section Root Operation Groups Root operations that take out some or all of a : Excision Cutting out/off without Some of a Breast lumpectomy Resection Cutting out/off without All of a Total mastectomy Detachment Cutting out/off without Extremity only, any level Amputation above elbow Destruction Eradicating without Some/all of a Fulguration of endometrium Extraction Pulling out or off without Some/all of a Suction D&C Root operations that take out solids/fluids/gases from a : Drainage Taking/letting out fluids/gases Within a Incision and drainage Extirpation Taking/cutting out solid matter Within a Thrombectomy Fragmentation Breaking solid matter into pieces Within a Lithotripsy Root operations involving cutting or separation only: Division Cutting into/separating a body Within a Neurotomy part Release Freeing a from constraint Around a Adhesiolysis Root operations that put in/put back or move some/all of a : Transplantation Putting in a living from Some/all of a Kidney transplant a person/animal Reattachment Putting back a detached body Some/all of a Reattach finger part Transfer Moving a to function Some/all of a Skin transfer flap for a similar Reposition Moving a to normal or other suitable location Some/all of a Move undescended testicle Root operations that alter the diameter/route of a tubular : Restriction Partially closing orifice/lumen Tubular Gastroesophageal fundoplication Fallopian tube ligation Occlusion Completely closing orifice/lumen Tubular Dilation Expanding orifice/lumen Tubular Percutaneous transluminal coronary angioplasty (PTCA) Bypass Altering route of passage Tubular Coronary artery bypass graft (CABG) Root operations that always involve a device: Insertion Putting in non-biological device In/on a Central line insertion 1

5 Replacement Putting in device that replaces a Some/all of a Total hip Supplement Putting in device that reinforces or augments a In/on a Abdominal wall herniorrhaphy using mesh Change Exchanging device w/out In/on a Drainage tube change cutting/puncturing Removal Taking out device In/on a Central line removal Revision Correcting a malfunctioning/displaced device In/on a Revision of pacemaker insertion Root operations involving examination only: Inspection Visual/manual exploration Some/all of a Diagnostic cystoscopy Map Location electrical Brain/cardiac Cardiac electrophysiological impulses/functional areas conduction mechanism study Root operations that define other repairs: Control Stopping/attempting to stop postprocedural bleed Anatomical region Post-prostatectomy bleeding control Repair Restoring to its normal structure Some/all of a Suture laceration Root operations that define other objectives: Fusion Rendering joint immobile Joint Spinal fusion Alteration Modifying for Some/all of a Face lift cosmetic purposes without affecting function Creation Making new structure for sex change operation Perineum Artificial vagina/penis 2