ICD-10-PCS code | Operation | Body part |
---|---|---|
0BBJ0ZZ | Excision | Lower lung lobe, left |
0BBJ4ZX | Excision | Lower lung lobe, left |
0BBJ4ZZ | Excision | Lower lung lobe, left |
0BBK0ZX | Excision | Lung, right |
Resection includes all of a body part or any subdivision of a body part having its own body part value in ICD-10-PCS, while excision includes only a portion of a body part. Examples of resection are total nephrectomy, total lobectomy of lung, total mastectomy, resection cecum, prostatectomy, or cholecystectomy.
ICD-10-PCS 0BTJ0ZZ is a specific/billable code that can be used to indicate a procedure.
Malignant neoplasm of unspecified part of left bronchus or lung. C34. 92 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM C34.
One of the keys to understanding ICD-10-PCS are the many new definitions and descriptions used to describe the various components of a performed procedure. This article focuses on the definitions of four of the root operations-Division, Release, Control, and Repair-in the Medical and Surgical section.
A thoracotomy is a surgical procedure in which a cut is made between the ribs to see and reach the lungs or other organs in the chest or thorax. Typically, a thoracotomy is performed on the right or left side of the chest. An incision on the front of the chest through the breast bone can also be used, but is rare.
A partial lobectomy (single or multiple segmentectomies in one lobe) is reported with 47120. A smaller wedge resection is reported with code 47100, Biopsy of liver, wedge. The difference between a segmentectomy and a wedge resection is determined by the surgeon.
ICD-10 code C34. 92 for Malignant neoplasm of unspecified part of left bronchus or lung is a medical classification as listed by WHO under the range - Malignant neoplasms .
Other nonspecific abnormal finding of lung fieldICD-10 code R91. 8 for Other nonspecific abnormal finding of lung field is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Malignant neoplasm of lower lobe, left bronchus or lung C34. 32 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM C34. 32 became effective on October 1, 2021.
Left upper lung lobectomy (removal of the entire left upper lobe of the lung) Even though the entire lung is not removed, since ICD-10-PCS contains a specific body part for anatomical subdivision of the lung, this is coded to the root operation “resection.”
In the ICD-10-PCS medical coding system, an excision indicates a procedure where a portion of the body is cut out or cut off. A resection is when an entire body part is cut out or cut off. But this doesn't have to be an entire organ or tissue, as often they are coded as a portion of an organ.
Extraction is the correct ICD-10-PCS root operation because during the curettage-defined as scraping-a uterine curette is inserted and the uterine wall scraped.
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure
Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure
Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure
Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure
Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane