ICD-10-PCS Obstetrics Coding
Root Operation | Definition |
Abortion (A) | Artificially terminating a pregnancy |
Change (2) | Taking out or off a device from a body p ... |
Delivery (E) | Assisting the passage of the products of ... |
Drainage (9) | Taking or letting out fluids and/or gase ... |
A suction dilation and curettage (D&C) procedure is performed. During the procedure successive dilators were placed until the cervix was adequate for insertion of the suction cannula. Suction cannula was placed and suction curettage performed with no residual endometrial lining.
2015 ICD-9-CM Procedure 69.52 Aspiration curettage following delivery or abortion Note: approximate conversions between ICD-9-CM codes and ICD-10-PCS codes may require clinical interpretation in order to determine the most appropriate conversion code (s) for your specific coding situation.
If the D&C had been performed after either a delivery or an abortion, then the code is 69.02, and if performed to terminate a pregnancy, the code is 69.01. 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.
Common procedural terms that meet the definition of Destruction in ICD-10-PCS include: Examples of Destruction procedures include radiofrequency coagulation of trigeminal nerve, fulguration of endometrium, and sclerotherapy of brachial plexus lesion with alcohol injection.
The correct code is 0DBL8ZX.
A suction dilation and curettage (D&C) procedure is performed. During the procedure successive dilators were placed until the cervix was adequate for insertion of the suction cannula. Suction cannula was placed and suction curettage performed with no residual endometrial lining.
In ICD-10-PCS, the values 027 specify the section Medical and Surgical (0), the body system Heart and Great Vessels (2) and the root operation Dilation (7).
In ICD-10-PCS the seventh character defines the qualifier – i.e., an additional attribute of the procedure, if applicable.
ICD-10-PCS Root Operations Root operations that take out solids/fluids/gasses from a body part. Root operations involving cutting or separation only. Root operations that put in/put back or move some/all of a body part. Root operations that alter the diameter/route of a tubular body part.
The root operation is the third character in the PCS code and describes the intent or the objective of the procedure. The majority of PCS codes reported for the inpatient setting are found in the Medical and Surgical section of ICD-10-PCS.
The Current Procedural Terminology (CPT) code for diagnostic dilation and curettage (D&C) is 58120.
The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) is a U.S. cataloging system for procedural codes that track various health interventions taken by medical professionals.
Examples of procedures performed on the products of conception are manually assisted delivery (10E0XZZ), delivery with mid forceps (10D07Z4), and low cervical cesarean section (10D00Z1).
In ICD-10-PCS, a dilation and curettage following an incomplete spontaneous abortion is coded to the root operation Extraction in the Obstetrics section. The code is 10D17ZZ with the fourth character capturing the retained products of conception that were extracted.
ICD-10-PCS describes seven different approaches: open, percutaneous, percutaneous endoscopic, via natural or artificial opening, via natural or artificial opening endoscopic, via natural or artificial opening with percutaneous endoscopic assistance, and external.
A valid code may be chosen directly from the tables. A8 All seven characters must be specified to be a valid code. If the documentation is incomplete for coding purposes, the physician should be queried for the necessary information.
In ICD-10-PCS, the root operation for this procedure is Detachment since the main objective is to cut off part of the lower extremity. The Alphabetic Index entry main term Amputation refers the coding professional to see Detachment .
A suction dilation and curettage (D&C) procedure is performed. During the procedure successive dilators were placed until the cervix was adequate for insertion of the suction cannula. Suction cannula was placed and suction curettage performed with no residual endometrial lining.
In ICD-9-CM, the Alphabetic Index entry main term Ablation, subterm endometrium identifies code 68.23, Endometrial ablation. Code 68.23 would be assigned whether or not a scope was utilized during the procedure.
Procedures performed following a delivery or abortion for curettage of the endometrium or evacuation of retained products of conception are all coded in the Obstetrics section, to the root operation Extraction, and the body part Products of Conception, Retained.
The Current Procedural Terminology (CPT) code for diagnostic dilation and curettage (D&C) is 58120. CPT codes are an integral part of the billing process used by insurance companies in healthcare.
Every medical, diagnostic, or surgical procedure or service has an associated five-digit CPT code assigned to it. CPT codes are created, trademarked, and published by the American Medical Association (AMA). They have now become the standard for doctors, coders, patients, and insurance companies to label and identify medical services and procedures.
CPT codes also have several modifiers that are two-digit additions to the CPT code that describe certain important facets of the procedure. CPT modifiers are relatively straightforward but are very important for coding accurately.
What is dilation and curettage? Dilation and curettage (D&C) is a procedure to remove abnormal tissues from inside the womb. In this procedure, the doctor uses small instruments or medication to open (dilate) the cervix (the lower, narrow part of the womb). The doctor then uses a surgical instrument called a curette to remove the tissues from ...