Full Answer
In ICD-10-PCS coding, the root operation must be determined at the start of trying to assign a specific code for the procedure. The root operation is the third character in the PCS code and describes the intent or the objective of the procedure.
There are 31 root operations in the medical and surgical section, which are arranged in groups with similar attributes (see the table “Medical and Surgical Section Root Operations” on page 59 for an alphabetical listing of all 31 root operations in the medical and surgical section). The 31 root operations are arranged into the following groupings:
The first grouping includes the following root operations: 1 Excision 2 Resection 3 Detachment 4 Destruction 5 Extraction
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.
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).
The 3rd character in the Medical and Surgical Section ICD-10-PCS code is the root operation. This value describes the objective of the procedure.
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."
A root operation value of 2 in the Administration section of ICD-10-PCS represents the root operation of transfusion. The diagnostic irrigation of skin and mucous membranes using irrigating substance via an external approach is reported with code Answer.
ICD-10-CM is a seven-character, alphanumeric code. Each code begins with a letter, and that letter is followed by two numbers. The first three characters of ICD-10-CM are the “category.” The category describes the general type of the injury or disease. The category is followed by a decimal point and the subcategory.
The first three characters represent the code category, such as the category in which the disease or injury belongs. An example of a category is Certain Infectious and Parasitic Diseases. Characters 4, 5, and 6 represent the etiology, anatomic site, and severity.
31 root operationsICD-10-PCS Root Operations There are 31 root operations in the medical and surgical section, which are arranged in groups with similar attributes (see the table “Medical and Surgical Section Root Operations” on page 59 for an alphabetical listing of all 31 root operations in the medical and surgical section).
ICD-10-PCS sectionsMedical and surgical.Obstetrics.Placement.Administration.Measurement and monitoring.Imaging.Nuclear medicine.Radiation oncology.More items...
17 sectionsProcedures are divided into 17 sections that relate to the type of procedure (see “Sections of ICD-10-PCS,” below, left). The first character of the procedure code identifies the section.
31 root operationsThe 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.
12 root operationsThere are a total of 12 root operations in the Obstetrics section, as outlined in Table 2 below. Only two of these root operations are unique to the Obstetrics section—Abortion and Delivery.
Which of the following characters within ICD-10-PCS is one of the most important concepts to understand in order to identify and select the correct code? The root operations used in ICD-10-PCS must match exactly with the physician documentation before the code may be selected.
So how do we get to the point of understanding? Breaking the code set into steps is the most effective way to gain the knowledge you need. Think of ICD-10-PCS as a train with linking boxcars. In each car you find the content to get to the highest specificity. Each boxcar fills in a blank and adds to the description of the trains’ path.
In the third car, we need to pick the root operation. Unlike with CPT which is based on what you are doing to the patient in ICD-10-PCS, the focus is the outcome of the procedure.
Now you know where the train is going, medical-surgical, and the body system you are working in, respiratory system, you only need to determine what the outcome is. After that, it is a matter of filling in the blanks from a drop-down choice list.
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 .
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.
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.