Resection of Left Testis, Open Approach. ICD-10-PCS 0VTB0ZZ is a specific/billable code that can be used to indicate a procedure. ICD-10-PCS 0VTB0ZZ is intended for males as it is clinically and virtually impossible to be applicable to a female.
The code for the discectomy is 0SB20ZZ, with the root operation being Excision. If the operative report documents that a discectomy is performed, the correct root operation is Excision. However, if the operative report documents a “total discectomy,” the root operation is Resection.
Assign the following ICD-10-PCS codes: 02PY33Z Removal of infusion device from great vessel, percutaneous approach, for removal of the infusion portion of the catheter 0JPT0XZ Removal of vascular access device from trunk subcutaneous tissue and fascia, open approach, for removal of the port
Code the insertion, as well as the removal of both the infusion device and the vascular access device. Assign the following ICD-10-PCS codes: 02PY33Z Removal of infusion device from great vessel, percutaneous approach, for removal of the infusion portion of the catheter
A screening colonoscopy should be reported with the following International Classification of Diseases, 10th edition (ICD-10) codes: Z12. 11: Encounter for screening for malignant neoplasm of the colon.
Malignant neoplasm of unspecified testis, unspecified whether descended or undescended. C62. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM C62.
39 (Encounter for other screening for malignant neoplasm of breast). Z12. 39 is the correct code to use when employing any other breast cancer screening technique (besides mammogram) and is generally used with breast MRIs.
Non-seminomatous germ cell tumors are associated with male infertility due to low sperm counts, reduced sperm motility, and increased abnormal morphology. This is thought to be due to spermatogenesis abnormalities and has been reported in up to 35% of patients with NSGCT.
Personal history of malignant neoplasm of testis Z85. 47 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z85. 47 became effective on October 1, 2021.
Seminoma is a malignant germ cell tumor that involves most commonly the testicle or less frequently the mediastinum, the retroperitoneum, or other extra-gonadal sites.
Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is reported for screening mammograms while Z12. 39 (Encounter for other screening for malignant neoplasm of breast) has been established for reporting screening studies for breast cancer outside the scope of mammograms.
Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast, is the primary diagnosis code assigned for a screening mammogram. If the mammogram is diagnostic, the ICD-10-CM code assigned is the reason the diagnostic mammogram was performed.
ICD-10 code Z00. 01 for Encounter for general adult medical examination with abnormal findings is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Seminomas are very sensitive to radiation therapy. Nonseminoma: This more common type of testicular cancer tends to grow more quickly than seminomas. Nonseminoma tumors are often made up of more than one type of cell, and are identified according to these different cell types: Choriocarcinoma (rare)
Many testicular cancers are mixed germ cell tumors, meaning that they have both seminoma and non-seminoma cells. Only tumors that have 100 percent seminoma cells are considered seminomas, while non-seminomas contain different types of cells. Blood tests are one of the ways to determine the type of testicular tumor.
Pathologically, dysgerminoma is the ovarian counterpart of the seminoma of the testis and the germinoma of extragonadal sites. Unlike seminomas of the testis, which are rare in the prepubertal period, dysgerminomas can occur at any age, although the peak incidence is 15 to 19 years.
Procedures performed on the products of conception are coded to the Obstetrics section . Procedures performed on the pregnant female other than the products of conception are coded to the appropriate root operation in the Medical and Surgical section.
Example: Amniocentesis is coded to the products of conception body part in the Obstetrics section.
There are limited coding guidelines currently available for ICD-10-PCS. In fact, only the Medical and Surgical section and Obstetrics section have any guidelines at all. For the Obstetric section, the available guidelines include a single guideline related to products of conception and a single guideline related to procedures following delivery or abortion. These guidelines are:
The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:
The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure
Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure
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.
Body Part: The body part character reflects the level of the vertebrae (cervical, thoracic, lumbar and/or sacral) and the number of vertebral joints fused. The intervertebral joint is the space that is located between any two adjacent vertebrae. One factor in determining the number of fusion codes to assign is how many levels were fused.
Coding professionals must be able to distinguish between what procedures are integral to a spinal fusion and are not assigned additional codes, versus those not considered to be integral and are assigned separate codes. The following are examples of how to make that distinction.