ICD-10-PCS: Procedure Coding Root Operations: Transplantation, Reattachment, Reposition and Transfer by Dr. Helen Walker

ICD-10-PCS: Procedure Coding

Root Operations: transplantation, reattachment, reposition and transfer.

Transplantation-Root Operation Y

Transplantation is defined as putting in or all of a portion of a living body part taken from another individual or animal to physically take the place and/or function of all of a similar body part. Examples: kidney transplant, heart transplant.

Coding Example: Right Kidney transplant: 0TY00Z1

Reattachment-Root Operation M

Reattachment is defined as putting back in or on all or a portion of a separated body part to its normal location or other suitable location. Examples include reattachment of hand and reattachment of avulsed kidney.

Coding Example: Reattachment, left index finger: 0XMP0ZZ

Reposition-Root Operation W

All or portion of a body part is moved to a new location from an abnormal location or from a normal location where it is not function correctly. The body part may or may not be cut out or off to be moved.  Examples: reposition of undescended testicle and fracture reduction.

Coding Example: Revision of artificial anal sphincter: 0DWQ0LZ

Transfer-Root Operation X

Transfer is defined as moving without taking out all or a portion of a body part to another location to take over the function of all or a portion of a body part.  The body part transferred remains connected to its vascular and nervous supply. Examples include tendon transfer and skin pedicle flap transfer.

Coding Example: Fasciocutaneous flap from scalp to cheek: 0JX00ZC

Reference: CMS: “2010 ICD-10-PCS Reference Manual” Available online at www.cms.hhs.gov/ICD10