Coronary artery bypass procedures are coded differently than other bypass procedures, which is described in guideline B3.6a. 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. ICD-10-PCS Guideline 3.6c.
First, a discussion of applicable ICD-10-PCS guidelines is essential. According to the Centers for Medicare and Medicaid Services’ Official ICD-10-PCS Coding Guidelines: ICD-10-PCS Guideline B3.6b.
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. ICD-10-PCS Guideline B3.9. If an autograft is obtained from a different body part in order to complete the objective of the procedure, a separate procedure is coded. ICD-10-PCS Guideline B4.4.
Measurement: While this root operation is in the medical and surgical-related section, it is the choice for cardiac catheterization procedures. With cardiac catheters—right, left, or both—there are additional procedures including coronary angiography and left ventriculography, which are coded separately.
The only two body systems under the map root operation are the central nervous system (00K) and heart and great vessels (02K). Examples of mapping procedures include cardiac mapping, cortical mapping, cardiac electrophysiological study, and intraoperative cardiac mapping during open heart surgery.
ICD-10-PCS Code 0CJS8ZZ - Inspection of Larynx, Via Natural or Artificial Opening Endoscopic - Codify by AAPC.
2022 ICD-10-PCS Procedure Code 0FJB8ZZ: Inspection of Hepatobiliary Duct, Via Natural or Artificial Opening Endoscopic.
All ICD-10-PCS codes have an alphanumeric structure, with all codes made up of seven characters. All complete ICD-10-PCS codes can be located within the Index. The letters "O" and "I" are not used as ICD-10-PCS values so as not to be confused with the digits "0" and "1."
The majority of PCS codes reported for the inpatient setting are found in the Medical and Surgical section of ICD-10-PCS. There are 31 root operations in this section. The entire list can be found with definitions and examples beginning on page 117 of the ICD-10-PCS Reference Manual.
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.
51.10 Endoscopic retrograde cholangiopancreatography [ERCP]
Indexing ERCP directs the coder to 51.10, Endoscopic retrograde cholangiopancreatography (ERCP).
2022 ICD-10-PCS Procedure Code 0DBN4ZX: Excision of Sigmoid Colon, Percutaneous Endoscopic Approach, Diagnostic.
third characterCharacter Meanings The third character indicates the root operation, or specific objective, of the procedure (e.g., excision). The fourth character indicates the specific body part on which the procedure was performed (e.g., duodenum).
ICD-10-CM diagnosis codes provide the reason for seeking health care; ICD-10-PCS procedure codes tell what inpatient treatment and services the patient got; CPT (HCPCS Level I) codes describe outpatient services and procedures; and providers generally use HCPCS (Level II) codes for equipment, drugs, and supplies for ...
The tables are arranged in alphanumeric order, and organized into separate tables according to the first three characters of the seven-character code. The ICD-10-PCS Index contains entries based on the terms (known as values) used in the ICD-10- PCS Tables, as well as entries based on common procedure terms.