Root Operations Part 2

Codes Discussed: ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System), ICD-10-CM/PCS (course resource reference), 31 Medical/Surgical root operations, Restriction value V (Partially closing the orifice or lumen of a tubular body part), Occlusion value L (Completely closing the orifice or lumen of a tubular body part), Dilation value 7 (Expanding an orifice or lumen of a tubular body part), Bypass value 1 (Altering the route of passage of the contents of a tubular body part), Insertion value H (Putting in a non-biological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part), Replacement value R (Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part), Supplement value U (Putting in or on biological or synthetic material that physically reinforces or augments the function of a portion of a body part), Change value 2 (Taking out or off a device and putting back an identical or similar device in or on the same body part without cutting or puncturing skin or mucous membrane), Removal value P (Taking out or off a device from a body part), Revision value W (Correcting, to the extent possible, a malfunctioning or displaced device), Inspection value J (Visually and/or manually exploring a body part), Map value K (Locating the route of passage of electrical impulses and/or locating functional areas in a body part), Repair value Q (Restoring, to the extent possible, a body part to its normal anatomic structure and function), Control value 3 (Stopping, or attempting to stop, post-procedural or other acute bleeding), Fusion value G (Joining together portions of an articular body part, rendering the articular body part immobile), Alteration value 0 (Modifying the anatomical structure of a body part without affecting function), Creation value 4 (Putting in or on biological or synthetic material to form a new body part that replicates the anatomic structure or function of an absent body part), 0DH (Insertion into Gastrointestinal System table reference), 02H (Insertion of devices into Heart and Great Vessels table), 02P (Removal of devices from Heart and Great Vessels table), B3.7 (PCS guideline for Control versus more definitive root operations), 0W4 (Creation table referenced in Code Red case), 0W4M070 (Sex change from male to female using an autograft; body part male, open approach, autologous tissue substitute, qualifier vagina), Device value M (Cardiac Lead, generic Removal device aggregation example), Approach value X (External approach for Change), modifier/device concept not applicable to PCS root operation coding, CABG (Coronary artery bypass graft), PTCA (Percutaneous transluminal angioplasty), ERCP (Endoscopic retrograde cholangiopancreatography), Roux-en-Y gastric bypass, ventriculoperitoneal shunt, colostomy, tracheostomy, coronary artery stent, uterine artery embolization, coil embolization of intracranial berry aneurysm, endotracheal tube, acellular hydrated dermis (mapped to Nonautologous Tissue Substitute device), nonautologous tissue substitute, radioactive implant, infusion catheter, pacemaker, prosthesis, porcine valve, zooplastic tissue device, corneal transplant, breast implant, mitral valve replacement, mesh, herniorrhaphy with mesh, hip replacement liner, colporrhaphy with mesh or tissue, myringoplasty with fascial graft, mitral valve ring annuloplasty, urinary catheter, gastrostomy tube, drainage tube, internal fixation hardware, neurostimulator lead, cardiac lead defibrillator, cardiac rhythm related device, intramedullary internal fixation device, hybrid external fixation device, external fixation device limb lengthening, ceramic on polyethylene synthetic substitute, cardiac resynchronization defibrillator pulse generator, exploratory laparoscopy, cortical mapping, cardiac electrophysiology mapping, herniorrhaphy without mesh, laceration suture repair, epistaxis control, post-tonsillectomy hemorrhage control, GI ulcer bleeding cautery, esophageal varices coil embolization, esophageal varices banding, splenectomy for traumatic splenic hemorrhage, arthrodesis, spine fusion, face lift, breast augmentation, liposuction, lip enhancement, tummy tuck, gender reassignment, new heart valve creation, autologous tissue substitute

Topics Covered: ICD-10-PCS Root Operations Part 2, Medical/Surgical root operations, final five PCS root operation categories, ICD-10-PCS code assignment, PCS code building, PCS root operation definitions, root operation intent, seven-character PCS code structure, section character, body system character, root operation character, body part character, approach character, device character, qualifier character, tubular body part coding, hollow body part coding, cardiovascular vessels, respiratory tubular body parts, gastrointestinal tubular body parts, biliary tract tubular body parts, genitourinary tubular body parts, root operations that alter diameter or route of a tubular body part, Restriction coding, partially closing tubular body part lumen, partially closing orifice, aneurysm restriction, intracranial berry aneurysm coil embolization, coil embolization restriction, arterial flow restriction, Occlusion coding, completely closing tubular body part lumen, fallopian tube occlusion, uterine artery embolization, intraluminal device, extraluminal device, embolization of bleeding vessels, esophageal varices occlusion, Dilation coding, expanding tubular body part lumen, angioplasty coding, coronary artery stent coding, PTCA coding, balloon angioplasty, vessel dilation, ERCP with common bile duct dilation, fallopian tube dilation, lacrimal duct dilation, Bypass coding, rerouting tubular body part contents, anastomosis included in bypass, graft material device value, coronary artery bypass graft coding, CABG coding, coronary artery body part values by number of arteries treated, coronary bypass qualifier as blood flow source, non-coronary bypass origin and destination coding, colostomy coding, cutaneous destination qualifier, tracheostomy bypass coding, airflow rerouting, ventriculoperitoneal shunt coding, cerebrospinal fluid rerouting, Roux-en-Y gastric bypass coding, stomach to jejunum bypass, root operations that always involve a device, ICD-10-PCS Device Key, device brand name translation, device type mapping, acellular hydrated dermis device key, nonautologous tissue substitute, Insertion coding, insertion versus another root operation, non-biological appliance insertion, physiological function device, radioactive implant insertion, infusion catheter insertion, pacemaker insertion, bone growth stimulator insertion, left ventricular lead placement, biventricular cardiac pacing, Replacement coding, replacing body part with device or tissue, native body part removal included in replacement, prior replacement removal, replacement at later operative session, prosthesis replacement, worn-out prosthesis, recalled prosthesis, replacement procedure repeated over time, free skin graft replacement coding, bone graft replacement coding, aortic valve replacement, porcine valve, zooplastic tissue device, corneal transplant as replacement, tissue replacement versus organ transplantation, breast reconstruction with implants, mitral valve replacement, saline implant breast reconstruction, Supplement coding, reinforcing or augmenting body part function, biological material supplement, synthetic material supplement, sutures not considered PCS devices, herniorrhaphy with mesh, mesh reinforcement, inguinal region reinforcement, prosthesis reinforcement, hip replacement liner, colporrhaphy with mesh, vaginal repair with tissue, myringoplasty with fascial graft, mitral valve ring annuloplasty, Change coding, changing device without cutting or puncturing skin or mucous membrane, external approach for device change, urinary catheter change, gastrostomy tube change, Removal coding, removing device from body part, device removal with cutting, permanent device removal, two-part device exchange, pacemaker change first step, drainage tube removal, internal fixation hardware removal, neurostimulator lead removal, generic device values in removal tables, Device Aggregation Table, cardiac lead defibrillator aggregation, cardiac lead generic device value, body-system-specific device aggregation, Revision coding, malfunctioning device correction, displaced device correction, device relocation, pacemaker lead relocation, prosthesis relocation, reduction of displaced hip prosthesis, device lengthening, device shortening, revision versus replacement distinction, complete device replacement exclusion, root operations involving examination only, Inspection coding, visual exploration, manual exploration, endoscopic exploration, optical instrumentation, procedure terminated before completion, exploratory laparoscopy, thoracotomy discontinued due to arrhythmia, colonoscopy for GI bleed source with normal findings, inspection with same approach versus different approach, Map coding, heart mapping, central nervous system mapping, cortical mapping, cardiac electrophysiology mapping, electrical impulse pathway mapping, functional brain area mapping, root operations defining other repairs, Repair coding, restoring body part structure and function, repair without device, herniorrhaphy without mesh, suture of laceration, Control coding, postprocedural bleeding control, acute bleeding control, hemostasis coding, Control versus more definitive root operation, Guideline B3.7, simple bleeding control techniques, suturing for bleeding, ligation for bleeding, destruction for bleeding, epistaxis control, post-tonsillectomy hemorrhage, bleeding GI ulcer cautery, coagulation of arterial bleed in esophagus, arthroscopic cauterization of arterial bleeder, coil embolization versus control, banding versus control, splenectomy versus control, root operations that define other objectives, Fusion coding, arthrodesis coding, joining articular body parts, rendering joint immobile, spine fusion, upper joints fusion table, lower joints fusion table, Alteration coding, cosmetic surgery coding, appearance improvement, body structure modification without functional change, face lift, breast augmentation, liposuction, lip enhancement, tummy tuck, Creation coding, creating new body part, biological material creation, synthetic material creation, absent body part replication, gender reassignment coding, male to female sex change coding, autograft use in creation, General Anatomical Regions Creation table, Heart and Great Vessels Creation table, patient body part at start of procedure, qualifier body part at conclusion of procedure, new heart valve creation, anomalous valve qualifier, Code Purple practice questions, Code Red ultimate challenge, uterine artery embolization case, intracranial berry aneurysm case, bleeding esophageal varices embolization case, ureteral stent removal case, colonoscopy inspection case, left ventricular lead placement case, arthroscopic bleeding control case, skin graft replacement case, breast reconstruction replacement case, male-to-female autograft creation case, root operation definition matching, book-based encoder workflow, 3M integrated code book, logic-based encoder caution, ICD-10-CM and ICD-10-PCS book use, Alphabetic Index use, PCS Tables use, device value selection, root operation flashcards, PCS definitions, ICD-10-PCS inpatient procedure coding education, medical coding course content