Codes Discussed: ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System), 2026 ICD-10-CM, ICD-10-PCS Official Guidelines for Coding and Reporting, PCS Index and Tables, Medical and Surgical section, Imaging section, Gastrointestinal body system, Hepatobiliary System and Pancreas body system, General Anatomical Regions body system, Upper Intestinal Tract body part, Lower Intestinal Tract body part, Esophagogastric Junction body part, Esophagus body part, Stomach body part, Stomach Pylorus body part, Duodenum body part, Jejunum body part, Ileum body part, Ileocecal Valve body part, Small Intestine body part, Cecum body part, Ascending Colon body part, Transverse Colon body part, Descending Colon body part, Sigmoid Colon body part, Rectum body part, Anus body part, Appendix body part, Large Intestine body part, Large Intestine Right body part, Large Intestine Left body part, Liver body part, Right Liver Lobe body part, Left Liver Lobe body part, Gallbladder body part, Common Bile Duct body part, Hepatobiliary Duct body part, Pancreatic Duct body part, Ampulla of Vater body part, Pancreas body part, Right Inguinal Region body part, Abdominal Wall body part, Peritoneal Cavity body part, Peritoneum body part, qualifier X (Diagnostic), qualifier Z (No qualifier), qualifier 3 (Vertical qualifier for vertical sleeve gastrectomy), qualifier Cutaneous (used for ostomy bypass destination), qualifier Duodenum (hepatobiliary bypass qualifier value 3), qualifier Stomach (hepatobiliary qualifier value 4), qualifier Transmural, qualifier Transpapillary, device value Intraluminal Device (biliary/pancreatic stent), device value Synthetic Substitute (mesh), device value Feeding Device (PEG tube), root operation Inspection, root operation Excision, root operation Resection, root operation Destruction, root operation Restriction, root operation Bypass, root operation Revision, root operation Release, root operation Insertion, root operation Change, root operation Removal, root operation Dilation, root operation Extirpation, root operation Extraction, root operation Drainage, root operation Division, root operation Control, PCS Guideline B4.8 (Upper and Lower Intestinal Tract body part values), PCS Guideline B3.2 (Multiple Procedure coding), PCS Guideline B3.1b (Integral components/anastomosis not coded separately unless rerouting is more than simple anastomosis), PCS Guideline B3.7 (Control for stopping acute bleeding), 0DB table (Gastrointestinal System Excision table), 0F9 table (Hepatobiliary and Pancreas Drainage table), 0WUF0JZ (Supplement of abdominal wall with synthetic substitute, open approach/ventral incisional hernia repair with underlay mesh), 0WQF0ZZ (Incorrect answer choice because hernia repair with mesh is not Repair), 0WJF4ZZ (Incorrect answer choice because laparoscopic inspection was not performed), 0WHF0YZ (Incorrect answer choice because hernia repair with mesh is not Insertion), 0DTJ4ZZ (Resection of appendix, percutaneous endoscopic approach/laparoscopic appendectomy), 0D5P8ZZ (Destruction of rectum via natural or artificial opening endoscopic/gold probe coagulation of rectal AVMs), 0DBH8ZZ (Excision of cecum via natural or artificial opening endoscopic/cecal polypectomy), 0DBL8ZZ (Excision of transverse colon via natural or artificial opening endoscopic/transverse colon polypectomy), 0DBN8ZZ (Excision of sigmoid colon via natural or artificial opening endoscopic/sigmoid polypectomy), 0DBN8ZX (Incorrect answer choice because sigmoid polypectomy was not solely diagnostic), 0DBP8ZZ (Incorrect answer choice because gold probe cautery is Destruction, not Excision), 0DBE8ZZ (Incorrect answer choice because polypectomies were of specific large intestine body parts), 0FPB8DZ (Removal of intraluminal device from hepatobiliary duct via natural or artificial opening endoscopic/removal of biliary stent), 0F758DZ (Dilation of right hepatic duct with intraluminal device via natural or artificial opening endoscopic/biliary stent placement into right hepatic duct), BF110ZZ (Fluoroscopy of biliary and pancreatic ducts with high osmolar contrast/ERCP imaging with Hypaque 141), 0FR94JZ (Incorrect answer choice because body part was not replaced with device), 0FHB8DZ (Incorrect answer choice because purpose of biliary stent is Dilation, not Insertion), 0F798DZ (Incorrect answer choice/body part mismatch in ERCP stent change), BF111ZZ (Incorrect answer choice because Hypaque is not low osmolar contrast), 0W3P8ZZ (Control of gastrointestinal tract bleeding via natural or artificial opening endoscopic/EGD cauterization of bleeding gastric ulcer), 0W3P4ZZ (Incorrect answer choice because scope was advanced through esophagus rather than percutaneous endoscopic), 0D568ZZ (Incorrect answer choice because intent was Control of bleeding, not Destruction), 0FT44ZZ (Resection of gallbladder, percutaneous endoscopic approach/laparoscopic cholecystectomy), 0DB60Z3 (Excision of stomach, open approach, vertical qualifier/open vertical sleeve gastrectomy), 0DTF0ZZ (Resection of right large intestine, open approach/right hemicolectomy), 0DBF0ZZ (Incorrect answer choice because entire right side of intestines was removed), 0DTH0ZZ (Incorrect answer choice because a single code describes right hemicolectomy), 0DTK0ZZ (Incorrect answer choice because separate colon-part resection codes were not needed), 0DBL0ZZ (Incorrect answer choice because separate partial transverse colon code was not needed), 0D1B0ZL (Incorrect answer choice because anastomosis after bowel resection is not coded separately), 0DBA0ZZ (Excision of jejunum, open approach/partial small-bowel resection), 0DNL0ZZ (Release of transverse colon, open approach/lysis of transverse colon adhesions), 0DNA0ZZ (Release of jejunum, open approach/lysis of jejunal adhesions), 0DTA0ZZ (Incorrect answer choice because entire jejunum was not removed), 0DV40ZZ (Restriction of esophagogastric junction, open approach/Nissen fundoplication), 0WJG4ZZ (Inspection of peritoneal cavity, percutaneous endoscopic approach/laparoscopic inspection before conversion to open), 0FJ04ZZ (Incorrect answer choice because liver was not the only organ inspected), 0DJW4ZZ (Incorrect answer choice because peritoneal membrane was not inspected), 0DV44ZZ (Incorrect answer choice because Nissen fundoplication was not performed laparoscopically), ERCP (Endoscopic retrograde cholangiopancreatography), EGD (Esophagogastroduodenoscopy), GERD (Gastroesophageal reflux disease), PEG (Percutaneous endoscopic gastrostomy), CBD (Common bile duct), ALPPS (Associating liver partition and portal vein ligation for staged hepatectomy), Whipple procedure, pancreaticoduodenectomy, Roux-en-Y gastric bypass, Lap-Band procedure, vertical sleeve gastrectomy, Billroth I operation, Billroth II operation, Nissen fundoplication, cholecystectomy, cholangiogram, cholangiopancreatography, sphincterotomy, papillotomy, AVM (Arteriovenous malformation), Hypaque 141, Silastic stent, Wallstent, Microvasive Silastic stent, intraluminal device, Proceed ventral patch, mesh, synthetic substitute, feeding tube, PEG tube, saline solution, access port, ostomy bag, ileostomy, colostomy, stomal opening, Reddick catheter, Argon beam coagulator, EndoCatch bag, Hasson trocar, Olympus CF-160, gold probe cautery, cold biopsy forceps, snare polypectomy, rat-toothed forceps, autotome, wire, balloon, basket, electrocautery, epinephrine, Avapro, Bovie electrocautery, Metzenbaum scissors, Doyen intestinal clamp, Kelly clamps, GIA stapler, PDS suture, Vicryl suture, Penrose drain, bougie, harmonic scalpel, CO2 insufflation, fluoroscopy, high osmolar contrast, low osmolar contrast
Topics Covered: ICD-10-PCS gastroenterology service line Part 2, ICD-10-PCS GI procedure coding, gastrointestinal body system coding, hepatobiliary system and pancreas coding, alimentary canal procedure coding, digestive tract procedure coding, upper intestinal tract coding, lower intestinal tract coding, specific GI body part values, general GI body part values, PCS body part guideline B4.8, esophagus to duodenum body part grouping, jejunum through anus body part grouping, diagnostic GI endoscopy coding, endoscopy Inspection coding, esophagoscopy coding, EGD coding, colonoscopy coding, sigmoidoscopy coding, most distal body part evaluated, GI bleeding etiology evaluation, blood loss anemia evaluation, endoscopic biopsy coding, endoscopic polypectomy coding, Excision versus Resection, biopsy qualifier X, diagnostic qualifier, pathological diagnosis intent, lesion destruction coding, electrocautery lesion removal, multiple procedure guideline B3.2, definitive procedure during endoscopy, Nissen fundoplication coding, GERD procedure coding, gastroesophageal reflux disease surgery, lower esophageal sphincter reinforcement, esophagogastric junction restriction, eponym procedure coding, laparoscopic Nissen fundoplication, converted-to-open procedure coding, bariatric surgery coding, weight loss surgery coding, Roux-en-Y gastric bypass coding, stomach pouch creation, duodenum bypass, fat absorption reduction, Bypass root operation coding, bypass from body part and bypass to qualifier, laparoscopic adjustable gastric banding coding, Lap-Band coding, gastric band adjustment, Revision root operation, gastric outlet restriction, vertical sleeve gastrectomy coding, stomach Excision, vertical qualifier, open vertical sleeve gastrectomy, laparoscopic vertical sleeve gastrectomy, colectomy coding, colon resection coding, right hemicolectomy coding, colon obstruction, colon cancer surgery, inflammatory bowel disorder surgery, anastomosis after bowel resection, bowel reconnection not separately coded, artificial opening creation, stomal opening, ostomy surgery, bowel diversion, ileostomy coding, colostomy coding, cutaneous qualifier, small bowel resection coding, jejunum resection, ileum resection, duodenum resection, ileocecal valve coding, unspecified small intestine body part, appendix resection, appendectomy coding, partial transverse colon excision, right large intestine resection, cecum removal, ascending colon removal, hepatic flexure removal, terminal ileum removal, partial transverse colon removal, Billroth procedure coding, Billroth I operation, Billroth II operation, distal gastrectomy coding, antrectomy coding, stomach to duodenum bypass, stomach to jejunum bypass, rerouting beyond simple anastomosis, lysis of adhesions coding, Release root operation, abdominal adhesions, postoperative adhesions, small bowel obstruction from adhesions, lysis of jejunal adhesions, lysis of transverse colon adhesions, body part being released, peritoneum release example, PEG tube coding, percutaneous endoscopic gastrostomy coding, feeding tube insertion, PEG placement approach, gastrostomy intent, feeding device placement, PEG tube change coding, Change root operation, hernia repair coding, abdominal wall hernia, ventral hernia repair, incisional hernia repair, umbilical hernia repair, inguinal hernia repair, femoral hernia repair, hiatal hernia repair, abdominal wall weakness, intestinal prolapse, intestinal strangulation prevention, hernia repair with mesh, hernia repair without mesh, Repair versus Supplement, laparoscopic inguinal hernia repair with mesh, synthetic substitute mesh coding, lower extremity anatomical regions body system for inguinal and femoral hernias, respiratory system body system for hiatal hernia, anatomical regions general body system for incisional umbilical and ventral hernias, hepatobiliary body part values, liver body part values, right liver lobe body part, left liver lobe body part, gallbladder body part, pancreatic body part, hepatobiliary duct body parts, ERCP coding, Endoscopic retrograde cholangiopancreatography, ERCP approach selection, via natural or artificial opening endoscopic approach, mouth approach for ERCP, hepatobiliary duct inspection, pancreatic duct inspection, ERCP medical and surgical coding, ERCP imaging coding, cholangiopancreatography coding, fluoroscopy root type, contrast material coding, high osmolar contrast, low osmolar contrast, Hypaque contrast coding, diagnostic ERCP, EGD coding when ERCP canceled before hepatobiliary/pancreatic examination, therapeutic ERCP intervention coding, ERCP imaging separately coded, ERCP with sphincterotomy, ERCP with papillotomy, sphincter of Oddi cutting, papilla dilation, Ampulla of Vater body part, Dilation root operation, sphincterotomy as approach not coded separately, ERCP stone removal coding, common bile duct stone removal, bile duct stone extraction, Extirpation root operation, stone fragmentation not coded separately when performed before extraction, location of stone at beginning of procedure, ERCP with balloon dilation, biliary stent coding, pancreatic duct stent coding, stent placement as Dilation, intraluminal device value, stent replacement coding, Removal plus Dilation for stent change, ERCP biopsy coding, brush biopsy coding, Excision for cut-out tissue, Extraction for brush biopsy, diagnostic qualifier with ERCP biopsy, transmural drainage coding, transpapillary drainage coding, EGD with endoscopic ultrasound guidance, fistulous tract from duodenum to biliary or pancreatic tract, catheter across papilla of Vater, hepatobiliary and pancreatic drainage coding, cholecystectomy coding, laparoscopic cholecystectomy, open cholecystectomy, gallbladder Resection, common bile duct exploration coding, intraoperative cholangiogram, stones after gallbladder removal, cholecystitis with cholelithiasis, liver biopsy coding, liver disease progression diagnosis, liver cancer treatment coding, liver tissue sampling, liver fluid sampling, liver Excision biopsy, liver Extraction biopsy, liver Drainage biopsy, diagnostic liver qualifier, hepatectomy coding, liver lobe Resection, partial liver Excision, right liver lobe removal, ALPPS procedure coding, associating liver partition and portal vein ligation for staged hepatectomy, liver partition, portal vein ligation, staged hepatectomy, liver regeneration, Division root operation, liver cancer surgery preparation, Whipple procedure coding, pancreaticoduodenectomy coding, eponym procedure coding, pancreas head removal, duodenum removal, common bile duct removal, gallbladder removal, partial stomach removal, jejunum reconnection, remaining pancreas reconnection, bile duct reconnection, multiple Whipple codes, Excision root operation for Whipple, gallbladder common bile duct duodenum and pancreas body part values, Code Purple practice, Code Red ultimate challenge, upper and lower intestinal tract matching, Nissen root operation quiz, bariatric surgery root operation matching, vertical sleeve gastrectomy Excision, Lap-Band Restriction, Roux-en-Y Bypass, right hemicolectomy structures, hernia type body system matching, ERCP approach quiz, ERCP sphincterotomy stone fragmentation extraction code count, biliary stent root operation quiz, Whipple root operation quiz, Whipple body part values quiz, ventral incisional hernia with mesh case, laparoscopic appendectomy case, colonoscopy with snare polypectomy case, piecemeal polypectomy case, rectal AVM coagulation case, ERCP with stent change case, bleeding gastric ulcer EGD cauterization case, laparoscopic cholecystectomy with cholangiogram case, vertical sleeve gastrectomy case, right hemicolectomy with ileocolonic anastomosis case, small-bowel obstruction adhesiolysis case, small-bowel resection with primary anastomosis case, laparoscopic converted to open Nissen fundoplication case, hiatal hernia case, steatohepatitis with hepatomegaly case, peritoneal cavity inspection, conversion from laparoscopic to open approach, ICD-10-PCS inpatient procedure coding education, gastroenterology procedure coding education, medical coding course content
GOOD
GOOD