Resection is similar to excision except it involves cutting out or off, without replacement, all of a body part. 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.
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.
31 root operationsThere are 31 root operations in the medical and surgical procedure section of ICD-10-PCS. These root operations are arranged into nine groups that share similar attributes.
Excision of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach. ICD-10-PCS 0UB74ZZ is a specific/billable code that can be used to indicate a procedure.
Root Operation “Resection” This root operation would be selected when the physician removes all of a body part without replacement. When resection of an organ is completed, no portion of that specific organ is left behind.
Root operations that put in/put back or move some/all of a body part include Transplantation, Reattachment, Transfer, and Reposition. Root operations that alter the diameter/route of a tubular body part include Restriction, Occlusion, Dilation, and Bypass.
The U.S. also uses ICD-10-CM (Clinical Modification) for diagnostic coding. The main differences between ICD-10 PCS and ICD-10-CM include the following: ICD-10-PCS is used only for inpatient, hospital settings in the U.S., while ICD-10-CM is used in clinical and outpatient settings in the U.S.
General guidelines B4. 1a If a procedure is performed on a portion of a body part that does not have a separate body part value, code the body part value corresponding to the whole body part. Example: A procedure performed on the alveolar process of the mandible is coded to the mandible body part.
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."
Hysterectomy is a surgery to remove the uterus and cervix. “Abdominal” is the surgical technique that will be used. This means the surgery will be done through an incision in your abdomen. A bilateral salpingo-oophorectomy is surgery to remove both of your ovaries and fallopian tubes.
722.
CPT® 58150 in section: Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)