ICD-10-PCS has a 7 character alpha-numeric code structure that provides a unique code for all substantially different procedures, and allows new procedures to be incorporated as new codes. All procedures currently performed can be specified in ICD-10-PCS.
ICD-10-PCS (Procedure Codes) has been developed as a replacement for Volume 3 of the ICD-9-CM.
2021 ICD-10-PCS Procedure Code 0PQ03ZZ Repair Sternum, Percutaneous Approach 2016 2017 2018 2019 2020 2021 Billable/Specific Code ICD-10-PCS 0PQ03ZZ is a specific/billable code that can be used to indicate a procedure.
ICD-10-PCS Sections. The 1st character of the code identifies the section. Sections relate to the type of procedure. For example, a chest x-ray is an imaging procedure and a breast biopsy is a medical and surgical procedure.
ICD-10 code Q67. 6 for Pectus excavatum is a medical classification as listed by WHO under the range - Congenital malformations, deformations and chromosomal abnormalities .
A Nuss procedure is a minimally invasive surgery that corrects pectus excavatum, or a sunken chest. This procedure, which has a high success rate, uses one or more metal bars to push a child's breastbone forward to where it belongs. It takes six months to recover fully.
The Nuss procedure is now the preferred operation for surgical correction of pectus excavatum (PE). It is a minimally invasive technique, whereby one to three curved metal bars are inserted behind the sternum in order to push it into a normal position. The bars are left in situ for three years and then removed.
The majority of patients are treated for cosmetic purposes, with the modified Ravitch and Nuss procedures the most commonly performed.
Policy. Aetna considers surgical repair of severe pectus excavatum deformities that cause functional deficit medically necessary when done for medical reasons in members who meet all of the following criteria: Well-documented evidence of complications arising from the sternal deformity.
There have been ongoing modifications of the Nuss procedure to improve the results and eliminate complications, some of which have been life threatening. The Nuss procedure, while initially developed for children, can also be performed in adults.
The National University of Singapore Society (NUSS)
The Pectus Support Bar and stabilizers are made from Stainless Steel, ASTM F 138. Pectus Excavatum and other sternal deformities. The Pectus Support Bar provides the surgeon with a means of treating Pectus Excavatum, funnel chest, a congenital deformity often accompanied by shortness of breath in children.
Removal takes about one hour and is done as an outpatient procedure so that you can return home with your child the same day. With the minimally invasive repair, the pectus bar(s) is (are) removed two years after insertion. This is also an outpatient operation that takes about one hour.
The Nuss procedure is a surgery to correct severe pectus excavatum. It's considered "minimally invasive" because only a few small incisions (cuts) are needed.
Treatment of pectus excavatum We may recommend observation for mild to moderate cases and surgery for more severe or complex cases. Early referral to a pediatric surgeon is important to determine surgical options and optimize treatment.
The Nuss procedure is a minimally invasive procedure for surgical correction of pectus excavatum. Children's Hospital surgeons have performed more than 500 Nuss procedures, and typically perform approximately 40 cases each year. The procedure is typically performed from age 10 up until the age of 19.
ICD-10-PCS has a 7 character alpha-numeric code structure that provides a unique code for all substantially different procedures, and allows new procedures to be incorporated as new codes. All procedures currently performed can be specified in ICD-10-PCS.
6 - Extracorporeal or Systemic Therapies. In extracorporeal therapy, equipment outside the body is used for a therapeutic purpose that does not involve the assistance or performance of a physiological function. Extracorporeal therapy procedure codes have a first character value of “6”.
Extracorporeal assistance and performance procedure codes have a first character value of “5”. The second character value for body system is physiological systems.
Nuclear medicine section codes represent procedures that introduce radioactive material into the body in order to create an image, to diagnose and treat pathologic conditions, or to assess metabolic functions. The nuclear medicine section does not include the introduction of encapsulated radioactive material for the treatment of cancer. These procedures are included in the radiation oncology section. Nuclear medicine procedure codes have a first character value of “C”. The second character specifies the body system on which the nuclear medicine procedure is performed. The third character root type indicates the type of nuclear medicine procedure (e.g., planar imaging or non-imaging uptake).
Placement section codes represent procedures for putting an externally placed device in or on a body region for the purpose of protection, immobilization, stretching, compression or packing. Placement procedure codes have a first character value of “2”.
The Medical and Surgical section codes represent the vast majority of procedures reported in an inpatient setting. Medical and surgical procedure codes have a first character value of "0". The 2nd character indicates the general body system (e.g., gastrointestinal). The first through fifth characters are always assigned a specific value, ...
Obstetrics procedure codes have a first character value of “1”. The second character value for body system is Pregnancy . The root operations Change, Drainage, Extraction, Insertion, Inspection, Removal, Repair, Reposition, Resection and Transplantation are used in the obstetrics section, and have the same meaning as in the medical and surgical section.
Question: When coding the placement of an infusion device such as a peripherally inserted central catheter (PICC line), the code assignment for the body part is based on the site in which the device ended up (end placement). For coding purposes, can imaging reports be used to determine the end placement of the device?
Question: ...venous access port. An incision was made in the anterior chest wall and a subcutaneous pocket was created. The catheter was advanced into the vein, tunneled under the skin and attached to the port, which was anchored in the subcutaneous pocket. The incision was closed in layers.
Question: In Coding Clinic, Fourth Quarter 2013, pages 116- 117, information was published about the device character for the insertion of a totally implantable central venous access device (port-a-cath). Although we agree with the device value, the approach value is inaccurate.
Question: A patient diagnosed with Stage IIIC ovarian cancer underwent placement of an intraperitoneal port-a-catheter during total abdominal hysterectomy. An incision on the costal margin in the midclavicular line on the right side was made, and a pocket was formed. A port was then inserted within the pocket and secured with stitches.
Question: The patient has a malfunctioning right internal jugular tunneled catheter. At surgery, the old catheter was removed and a new one placed. Under ultrasound guidance, the jugular was cannulated; the cuff of the old catheter was dissected out; and the entire catheter removed.