presented by: thima icd 10 committee. operationactiontargetclarificationexample insertion...
TRANSCRIPT
Presented by:THIMA ICD 10 Committee
Operation Action Target Clarification
Example
Insertion –(H) Putting in Device in or on a body part
Does not physically take the place of a body part
Pacemaker insertion
Replacement – (R) Putting in or on Biological or synthetic material; or living tissue taken from same individual
Physically takes the place of all or a portion of a body part
Total hip replacement
Supplement- (U) Putting in or on Biological or synthetic material; or living tissue taken from same individual
Physically reinforces or augments a body par
Herniorrhaphy with mesh
Removal – (P) Taking out or off Device from a body part
N/A Cardiac pacemaker removal
Change – (2) Taking out or off and putting back
Identical or similar device in or on a body part
Without cutting or puncturing skin or mucous membrane
Drainage tube change
Revision – (W) Correcting Malfunctioning or displaced device in or on a body part
To the extent possible
Hip prosthesis adjustment
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.
Example: Percutaneous placement of pacemaker lead into the left atrium
1. Insertion of device, atrium, left 02H72. Go to table 02H with body part 7 (atrium, left)3. Approach - Percutaneous -34. Device – Cardiac Lead Pacemaker – J5. Qualifier – Z – No qualifier6. 02H73JZ
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
Example: Total left knee arthroplasty with insertionof total knee prosthesis
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1. Replacement, joint, knee left 0SRD2. Go to table 0SR with body part D (knee joint,
left)3. Approach – open – 04. Device – synthetic substitute – J5. Qualifier – uncemented – A6. 0SRD0JA
Putting in or on biologic or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Example: Laparoscopic rightinguinal hernia repair with Marlex mesh
Taking out or off a device from a body part
Example: Removal of an endotracheal tube
A. Upper arteriesB. Heart and great vessels
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Example: Removal of Swan Ganz catheter from right pulmonary artery
Body part is Y – Great Vessel
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Removal device from trachea 0BP1
Go to table 0BP with body part 1 (trachea)
Approach - External – X Device – endotracheal device –
E Qualifier – no qualifier – Z 0BP1XEZ
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.
Example: Tracheostomy tube exchange
Change, by device, tracheostomy device, trachea 0B21
Go to table 0B2 with body part 1 (trachea) Approach – external – X Device – tracheostomy device – F Qualifier – no qualifier – Z 0B21XFZ
Correcting, to the extent possible, a malfunctioning or displaced device
Example: Open revision of left hip replacement, with adjustment of the prosthesis
Revision of device in, joint, hip, left 0SWB Go to table OSW with body part B (hip joint,
left) Approach – open – 0 Device – synthetic substitute – J Qualifier – no qualifier - Z 0SWB0JZ
Practice Review the exercises and
match the root operations to procedures
Continue to practice, practice, and more practice to help you master procedure coding involving one of these devices
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Casting of nondisplaced fracture
Reduction of displaced fracture
Putting a pin in a nondisplaced fracture
Immobilization Insertion Reposition
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23Image: breastcancer.org
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25Image: mayoclinic.org
26Image: urogyn-nj.com
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