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 differentiates whether or not this procedure was performed with a scope.
The ICD-10-PCS code for this procedure is 07DR3ZX. The fourth character (R) identifies the body part as bone marrow, iliac. Unlike ICD-9-CM, the code specifies the specific location of the bone marrow biopsy. The following fourth character values are provided in Table 07D: Q, Bone Marrow, Sternum R, Bone Marrow, Iliac S, Bone Marrow, Vertebra
ICD-10-PCS 2. Development History 1995 - 1996: First draft of ICD-10-PCS completed ... •PCS Table or code reference as specific as possible RLM.MD ... Examples Dilation and curettage Vein stripping RLM.MD ICD-10-PCS 37. Medical and Surgical Section Root Operations Destruction Definition Physical eradication of all or a portion of a ...
Oct 01, 2012 · Diagnostic or therapeutic dilation and curettage performed during times other than the postpartum or post-abortion period are all coded in the Medical and Surgical section, to the root operation Extraction and the body part Endometrium. Section 1 – Obstetrics. The Obstetrics section is one of the smaller sections in ICD-10-PCS.
The Obstetrics section is one of the smaller sections in ICD-10-PCS. It contains a single body system value, pregnancy (0), 12 root operation values, and three body part values: Products of Conception (0), Products of Conception, Retained (1), and Products of Conception, Ectopic (2).Oct 1, 2012
operation ExtractionDiagnostic or therapeutic dilation and curettage performed during times other than the postpartum or post-abortion period are all coded in the Medical and Surgical section, to the root operation Extraction and the body part Endometrium. Source: Centers for Medicare and Medicaid Services.
The correct code is 02703ZZ. The objective of the procedure, D&C, is a curettage of the endometrium.
Procedures following delivery or abortion C2 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.
2022 ICD-10-PCS Procedure Code 0DBN4ZX: Excision of Sigmoid Colon, Percutaneous Endoscopic Approach, Diagnostic.
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 diagnostic hysteroscopy (58555) is included within the surgical hysteroscopy (58558).
If a biopsy is obtained, a polyp removed or a dilatation and curettage (D&C) performed during a hysteroscopy, use 58558 Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C.Jul 5, 2010
For a hysteroscopy, your doctor guides a lighted tube through your cervix and into your uterus. This helps the doctor see inside your uterus. For a dilation and curettage (D&C), your doctor uses a curved tool, called a curette, to gently scrape tissue from your uterus.
2022 ICD-10-PCS Procedure Code 10D00Z1.
17 sectionsICD-10-PCS sections There are 17 sections to ICD-10-PCS. The sections relate to the type of procedure being performed. They are the following: Medical and surgical.
In ICD-10-PCS the seventh character defines the qualifier – i.e., an additional attribute of the procedure, if applicable.
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.
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.
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.
A bone marrow biopsy procedure was performed. During this procedure an 11-gauge Jamshidi biopsy needle was used to obtain a bone marrow biopsy sample from the right posterior iliac crest.
Correcting, to the extent possible, a malfunctioning or displaced deviceRevision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screwAdjustment of position of pacemaker lead Recementing of hip prosthesis
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
Breaking solid matter in a body part into piecesPhysical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken outExtracorporeal shockwave lithotripsy Transurethral lithotripsy
Single plane or bi-plane real time display of an image developed from the capture of external ionizing radiation on a fluorescent screen. The image may also be stored by either digital or analog means
Introduction of radioactive materials into the body for the study of distribution and fate of certain substances by the detection of radioactive emissions; or, alternatively, measurement of absorption of radioactive emissions from an external source
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
Procedures performed on the products of conception are coded to the Obstetrics section . Procedures performed on the pregnant female other than the products of conception are coded to the appropriate root operation in the Medical and Surgical section.
The Obstetrics section is a good section with which to begin ICD-10-PCS training because of the relatively limited number of root operations and tables. While there are two root operations that apply only to Obstetrics, the other 10 root operations also are used in the Medical and Surgical section. Learning the definitions of those 10 root operations common to both sections and learning how these definitions are applied in the Obstetrics section will help coders understand how they are used and applied in the Medical and Surgical section as well. In the process of learning ICD-10-PCS Obstetrics coding, coders also will become familiar with the format of the tables and will be able to learn how to easily use these tables to construct a code.
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.
Lauri Gray, RHIT, CPC, has worked in the health information management field for 30 years. She began her career as a health records supervisor in a multi-specialty clinic. Following that she worked in the managed care industry as a contracting and coding specialist for a major HMO. Most recently she has worked as a clinical technical editor of coding and reimbursement print and electronic products. She has also taught medical coding at the College of Eastern Utah. Areas of expertise include: ICD-10-CM, ICD-10-PCS, ICD-9-CM diagnosis and procedure coding, physician coding and reimbursement, claims adjudication processes, third-party reimbursement, RBRVS and fee schedule development. She is a member of the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA).
There are limited coding guidelines currently available for ICD-10-PCS. In fact, only the Medical and Surgical section and Obstetrics section have any guidelines at all. For the Obstetric section, the available guidelines include a single guideline related to products of conception and a single guideline related to procedures following delivery or abortion. These guidelines are: