Presented by:THIMA ICD 10 Committee

2

Altering the route of passage of the contents of a

tubular body part

3Image: Debakeydepartmentofsurgery.org

Bypass procedures are coded by identifying the body part bypassed “from” and the body part bypassed “to.”

The fourth character body part specifies the body part bypassed from, and the qualifier specifies the body part bypassed to.

4

1. Bypass from stomach tojejunum, stomach is the ? and jejunum is the ?

2. What is the qualifier for a colostomy?

3. What would make the term esophagoenterostomy difficult to code?

5

Coronary arteries are classified by number of distinct sites treated, rather than number of coronary arteries or anatomic name of a coronary artery (e.g., left anterior descending).

Coronary artery bypass procedures are coded differently than other bypass procedures as described in the previous guideline.

Rather than identifying the body part bypassed from, the body part identifies the number of coronary artery sites bypassed to, and the qualifier specifies the vessel bypassed from.

6

If multiple coronary artery sites are bypassed, a separate procedure is coded for each coronary artery site that uses a different device and/or qualifier.

7

If an autograft is obtained from a different body part in order to complete the objective of the procedure, a separate procedure is coded.

8

9

Expanding an orifice or the

lumen of a tubular body part

10Image: yalemedicalgroup.org

The coronary arteries are classified as a single body part that is further specified by number of sites treated and not by name or number of arteries.

Separate body part values are used to specify the number of sites treated when the same procedure is performed on multiple sites in the coronary arteries.

11

Completely closing an orifice or the lumen of a tubular body part

12Image: Medline Plus

Partially closing an orifice or the

lumen of a tubular body part

13Image: yalemedicalgroup.org

14

15Image: Debakeydepartmentofsurgery.org

16Image: Vanderbilthealth.com

17Image: MedlinePlus

18Image: http://kidney.niddk.nih.gov

19Image: MedlinePlus

ICD 10 makes no sense?????

My wheels are turning, I think I’m getting it!!!!!!!

Your brain on I-9

Your brain on I-10