Root Operations that always involve devices include removal, change and revision, Part II by Dr. Helen Walker
Removal -Root Operation P
Removal is defined as: taking out or off a device from a body part. Examples: Drainage tube removal, Cardiac pacemaker removal.
Coding Example: Removal of right forearm external fixator
|
Character 1 Section |
Character 2 Body System |
Character 3 Root Operation |
Character 4 Body Part |
Character 5 Approach |
Character 6 Device |
Character 7 Qualifier |
|
MEDICAL & SURGICAL |
UPPER BONES |
REMOVAL |
ULNA, RIGHT |
EXTERNAL |
EXTERNAL FIXATION |
NO QUALIFICER |
|
0 |
P |
P |
K |
X |
5 |
Z |
Change- Root Operation 2
Change is defined as: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane. Examples include: Urinary catheter change, Gastrostomy tube change
Coding Example: PEG tube exchange
|
Character 1 Section |
Character 2 Body System |
Character 3 Root Operation |
Character 4 Body Part |
Character 5 Approach |
Character 6 Device |
Character 7 Qualifier |
|
MEDICAL & SURGICAL |
GASTROINTEST SYSTEM |
CHANGE |
UPPER INTEST TRACT |
EXTERNAL |
FEEDING DEVICE |
NO QUALIFIER |
|
0 |
D |
2 |
0 |
X |
U |
Z |
Revision -Root Operation W
Revision is defined as: Correcting, to the extent possible, a malfunctioning or displaced device.. Examples: Adjustment of pacemaker lead, Adjustment of hip prosthesis
Coding Example: Revision of artificial anal sphincter
|
Character 1 Section |
Character 2 Body System |
Character 3 Root Operation |
Character 4 Body Part |
Character 5 Approach |
Character 6 Device |
Character 7 Qualifier |
|
MEDICAL & SURGICAL |
GASTROINTEST. SYSTEM |
REVISION |
ANUS |
OPEN |
ARTIFICAL SPHINCTER |
NO QUALIFIER |
|
0 |
D |
W |
Q |
0 |
L |
Z |
Reference: CMS: “2010 ICD-10-PCS Reference Manual” Available online at www.cms.hhs.gov/ICD10