2018/2019 ICD-10-CM Diagnosis Code J34.89. Other specified disorders of nose and nasal sinuses. 2016 2017 2018 2019 Billable/Specific Code. J34.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The ICD-10-PCS codes for the left and right tympanotomy are: 099600Z, and 099500Z. It is important to remember that in ICD-10-PCS, the procedure is coded based on the objective of the procedure, not based on the description of the procedure.
The 2020 edition of ICD-10-CM J34.89 became effective on October 1, 2019. This is the American ICD-10-CM version of J34.89 - other international versions of ICD-10 J34.89 may differ. Applicable To. Perforation of nasal septum NOS. Rhinolith.
Diagnosis Index entries containing back-references to J34.89: Adhesions, adhesive (postinfective) K66.0 ICD-10-CM Diagnosis Code K66.0 Atresia, atretic nose, nostril Q30.0 ICD-10-CM Diagnosis Code Q30.0 Atrophy, atrophic (of) turbinate J34.89 Calculus, calculi, calculous nose J34.89
Amputation of the foot is coded to the root operation Detachment in the body system Anatomical Regions, Lower Extremities. B2.1b . Where the general body part values “upper” and “lower” are provided as an option in the
As most of us have learned by now, the root-operation character in ICD-10-PCS defines the objective of the procedure. There are 31 root operations in the Medical and Surgical Section of ICD-10-PCS, and two of these are discussed below.
Code History. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-PCS); 2017 (effective 10/1/2016): No change; 2018 (effective 10/1/2017): No change; 2019 (effective 10/1/2018): No change; 2020 (effective 10/1/2019): No change; 2021 (effective 10/1/2020): No change; 2022 (effective 10/1/2021): No change; Convert 0W9G30Z to ICD-9-CM
Root operations were a new concept introduced by ICD-10-PCS and they continue to cause ripples among coding professionals.
3 Conventions A1 ICD-10-PCS codes are composed of seven characters. Each character is an axis of classification that specifies information about the procedure performed.
Staghorn calculus of the left renal pelvis removed via a percutaneous nephrostomy tube
Consider the example of a percutaneous thrombectomy of the left radial artery, which is coded to 03CC3ZZ:
Extirpation represents a range of procedures where the body part itself is not the focus of the procedure. Instead, the objective is to remove solid material such as a foreign body, thrombus, or calculus from the body part. Examples of an extirpation procedure include thrombectomy, endarterectomy, choledocholithotomy, and excision of a foreign body.
The definition for the root operation Extirpation provided in the 2013 ICD-10-PCS Reference Manual is “Taking or cutting out solid matter from a body part.” The solid matter contained in the definition may be an abnormal byproduct of a biological function or a foreign body. It may be imbedded in a body part, or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
There is a body part for “kidney pelvis” which is further defined by left and right. The correct code for this procedure is 0TC43ZZ, percutaneous removal of a staghorn calculus from the left renal pelvis.
The correct code for a diagnostic lumbar puncture in ICD-10-PCS is 009U3ZX.
Lumbar puncture is performed to drain spinal fluid from the spinal canal and is done for both therapeutic and diagnostic purposes. Careful review of the documentation is necessary to determine if the procedure is being done to biopsy the spinal fluid.
Chest, abdomen and legs were prepped and draped in sterile fashion. The greater saphenous vein was harvested through several small incisions along the right thigh. The graft was prepared by ligating all branches with 4-0 silk and flushed with vein solution. The leg was closed with running 3-0 Dexon subcu and running 4-0 Dexon on the skin.
An incision was placed in the aorta and the vein was cut to fit this and sutured in place with running 5-0 Prolene suture . All anastomoses were inspected and noted to be patent and dry. The patient was weaned from cardiopulmonary bypass. Good hemostasis was noted.
For the saphenous vein graft, the 6th character is 9, autologous venous tissue because the saphenous vein was harvested from the patient's body. The 7th character is Qualifier W, because the new blood supply is the aorta.
Description of Procedure: The patient was brought to the operating theater where the metacarpal block anesthetic was administered by the surgeon consisting of 10 mL of 0.5 percent Marcaine and 2 percent Lidocaine plain mixed in 1:1 fashion at the base of the left ring finger. The tourniquet was placed high up on the left upper arm. The left and upper extremity were prepped and draped in the usual sterile fashion. The arm was exsanguinated with an Esmarch, and the tourniquet was inflated to 250 mm Hg. The arm was placed in a Strickland hand table for retraction and an oblique incision was made over the palm up to the palmar digital crease crossing obliquely and then extending distally along the ulnar aspect of the finger. The full-thickness skin flap was raised. The distal stump of the ulnar digital nerve was identified. This was noted to be scarred in and adherent to the adjacent flexor tendon sheath. The flexor tendons were identified and noted to be intact. The proximal stump of the ulnar digital nerve was identified and noted to have slight bulbous neuroma formation. The proximal and distal ends were then visualized under the operating microscope, and the stump ends were freed and mobilized. The segments of cut nerve ends were then resected back to healthy appearing fascicles. The nerves were mobilized once again and directly repaired using a 9-0 nylon suture, epineural stitch with operating microscope with the stitch held without tension with the digit in full extension. Additional 9-0 nylon sutures were placed at 90-degree angles with four epineural well-placed stitches. A tension free repair and anatomic repair was noted. The digit was then put through passive range of motion, no tension upon the repair. Copious irrigation was performed. The tourniquet was deflated excellent capillary refill returned to the fingertips with the flaps well maintained. The incision was closed with interrupted Prolene mattress sutures. Xeroform, moistened 4x4's, a Kling wrap, and Cohan dressing were then applied with the fingers held free at the IP joint. The patient was awakened and transported to the recovery room awake, alert, and in a good condition. The patient was able to demonstrate gentle IP range of motion and the fingers were warm and well perfused.
The 7th character qualifier 9, left internal mammary artery, indicates the new blood supply for the coronary artery. When Bypass is the root operation (identified by the 3rd character 1) the 7th character (Qualifier) identifies the vessel bypassed from.
With the left internal mammary bypass, the 6th character device is Z for no device because the artery was not completely dissected but rather only dissected to pedicle, and therefore is not considered a device. The 7th character qualifier 9, left internal mammary artery, indicates the new blood supply for the coronary artery. When Bypass is the root operation (identified by the 3rd character 1) the 7th character (Qualifier) identifies the vessel bypassed from.
Summary: The patient was taken to the operating room and placed on the table in the supine position. A peribulbar and retrobulbar injection of 2 percent Lidocaine with epinephrine was performed. The skin around the left eye was prepped and draped in the usual sterile fashion.
Staghorn calculus of the left renal pelvis removed via a percutaneous nephrostomy tube
Consider the example of a percutaneous thrombectomy of the left radial artery, which is coded to 03CC3ZZ:
Extirpation represents a range of procedures where the body part itself is not the focus of the procedure. Instead, the objective is to remove solid material such as a foreign body, thrombus, or calculus from the body part. Examples of an extirpation procedure include thrombectomy, endarterectomy, choledocholithotomy, and excision of a foreign body.
The definition for the root operation Extirpation provided in the 2013 ICD-10-PCS Reference Manual is “Taking or cutting out solid matter from a body part.” The solid matter contained in the definition may be an abnormal byproduct of a biological function or a foreign body. It may be imbedded in a body part, or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
There is a body part for “kidney pelvis” which is further defined by left and right. The correct code for this procedure is 0TC43ZZ, percutaneous removal of a staghorn calculus from the left renal pelvis.
The correct code for a diagnostic lumbar puncture in ICD-10-PCS is 009U3ZX.
Lumbar puncture is performed to drain spinal fluid from the spinal canal and is done for both therapeutic and diagnostic purposes. Careful review of the documentation is necessary to determine if the procedure is being done to biopsy the spinal fluid.