www. libraries.ahima.org/ icd-10-cm pcs code for cystourethroscopy with bladder fulguration ??

What is the ICD-10-PCS code for cystourethroscopy?

Dilation of Urethra, Via Natural or Artificial Opening Endoscopic. ICD-10-PCS 0T7D8ZZ is a specific/billable code that can be used to indicate a procedure.

What is the root operation for Fulguration?

Operation 5Destruction-Root Operation 5 Destruction is defined as the physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent. Common terms that may be documented are ablation, destruction, fulguration, cryotherapy, and cautery.

What is the ICD-10-PCS code for Turbt?

0TBB8ZZThe approach is “via natural or artificial opening endoscopic” since the cystoscope is inserted into the urethra. Therefore, the ICD-10-PCS code for TURBT is 0TBB8ZZ.

What is the difference between excision and resection?

In the ICD-10-PCS medical coding system, an excision indicates a procedure where a portion of the body is cut out or cut off. A resection is when an entire body part is cut out or cut off. But this doesn't have to be an entire organ or tissue, as often they are coded as a portion of an organ.

What is Fulguration of the bladder?

Fulguration is the process of removing abnormal bladder tissue with the use of a specialized tool. During fulguration, one of the commonly used tools, a resectoscope, is inserted through the urethra, into the bladder. It is inserted in a similar way to a foley catheter or cystoscope.

How do I code Angioectasia?

It is my understanding that to bill for angioectasia of the ascending colon you should bill for angiodysplasia of intestine ICD-9 code 569.84 (w/o mention of hemorrhage) or 569.85 (w/ mention of hemorrhage). Hope this helps!

What is a cystourethroscopy procedure?

Cystourethroscopy is a procedure that allows your provider to visually examine the inside of your bladder and urethra. This is done using either a rigid or flexible tube (cystoscope), which is inserted through the urethra and into the bladder.

What is the PCS code for TURP?

Glossary Definition Recent advances in drug therapy have reduced the need for this surgery in many patients. TURP surgeries are defined by hospital separations for males age 40 or older with ICD-9-CM procedure code 60.2 or CCI codes 1. QT. 59 or 1.

What is the ICD-10 code for bladder tumors?

Malignant neoplasm of bladder, unspecified C67. 9 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 C67. 9 became effective on October 1, 2021.

Is an excision considered surgery?

Excisional surgery or shave excision is a surgical procedure that involves the removal of growths, such as moles, masses and tumors, from the skin along with the healthy tissues around the tumor. The doctor uses this technique to treat skin cancers, where they use a scalpel or razor to remove the tumor.

When the documentation of a procedure does not include a specific body part the procedure should be coded to?

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.

What is the difference between resection and incision?

Surgical excision removes the entire cyst but requires a larger hole in the skin. A punch incision makes a smaller hole through which the cyst can be removed. The trial's purpose is to determine if one method is better than another in terms of recurrence, infection, or other side effects.

What is the ICD-9 code for lithotripsy?

In ICD-9-CM, indexing lithotripsy directs the coder to 51.49, Incision of other bile ducts for relief of obstruction. This code does not identify the use of the scope to accomplish the procedure. Indexing ERCP directs the coder to 51.10, Endoscopic retrograde cholangiopancreatography (ERCP).

Can fragmentation be coded with extirpation?

It is important to note that fragmentation cannot be coded with extirpation. For additional information, review the procedure coding for an ESWL of the bilateral ureters. This procedure requires two codes, 0TF7XZZ and 0TF6XZZ, as there is not a bilateral body part value for the ureter.

OB Diagnoses Coding with ICD-10-CM

Obstetric cases require diagnosis codes from chapter 15 of ICD-10-CM, “Pregnancy, Childbirth, and the Puerperium.” It includes categories O00–O9A arranged in the following blocks:

OB Procedure Coding with ICD-10-PCS

The obstetrics section is one of 16 sections in ICD-10-PCS and is categorized as one of the nine medical and surgical-related procedure sections. Similar to other ICD-10-PCS codes, obstetric procedure codes are seven characters in length with each of the seven characters representing an aspect of the procedure.

Physical Rehabilitation and Diagnostic Audiology: Section Value F

The Physical Rehabilitation and Diagnostic Audiology section consists of 1,380 codes and classifies procedures by treatment, assessment, fitting (s), and caregiver training. The Physical Rehabilitation section represents physical therapy, occupational therapy, and speech-language pathology procedures.

Physical Rehabilitation and Diagnostic Audiology Coding Examples in ICD-10-PCS

The following are two examples of coding for physical rehabilitation and diagnostic audiology in ICD-10-PCS.

Mental Health Coding Example in ICD-10-PCS

The following is an example of coding for the Mental Health section of ICD-10-PCS.

Examples of Coding Substance Abuse Treatment

The following are two examples of coding for Substance Abuse Treatment in ICD-10-PCS.

Mental Health: Section Value G

The Mental Health section consists of 30 codes and classifies procedures by crisis intervention, family psychotherapy, and biofeedback. The first character for the mental health section is G. Since the body system doesn’t apply in this section, the second character is assigned the value Z, none.

Substance Abuse Treatment: Section Value H

The Substance Abuse Treatment section consists of 59 codes and classifies treatment by detoxification, counseling, and pharmacotherapy. The first character for the substance abuse section is H. Similar to the Mental Health section, the second character, body system, doesn’t apply for this section and is assigned the value Z, none.

Resources

Barta, Ann et al. 2014 ICD-10-PCS Coder Training Manual: Instructor’s Edition. Chicago, IL: AHIMA Press, 2013.

First Character

The first character of an ICD-10-PCS code describes the section. There are 16 sections in ICD-10-PCS, with the most voluminous section being Medical and Surgical. The other sections include codes for other types of procedures, such as Obstetrics, Nuclear Medicine, and Administration.

Second Character

The second character of an ICD-10-PCS code in the Medical and Surgical section identifies the Body System (of which there are 31), such as Central Nervous System, Lower Veins, Endocrine System, and Upper Joints.

Third Character

The third character describes the intent, or objective, of the procedure. These 31 Root Operations receive the most publicity in ICD-10-PCS due to their very specific definitions that must be mastered by coders in order to correctly assign procedure codes in ICD-10.

Fourth Character

Body Part is the fourth character, which describes the exact location of the procedure. This requires precise documentation, such as the specific vein or artery, laterality, lobe of lung, or portion of intestine.

Fifth Character

The fifth character identifies the Approach. There are only seven Approach values, but it can be one of the more difficult areas to decipher in cases of scanty documentation. The seven Approaches are:

Sixth Character

Devices are described with the sixth character in ICD-10-PCS. Some examples of devices are pacemakers, drainage devices, vascular access devices, and internal fixation devices. The key to coding the device character correctly is for the documentation to clearly state that the device is left in place after surgery.

Seventh Character

The last character of an ICD-10-PCS code is the Qualifier. The Qualifier can describe many things, such as the site of a bypass, whether the procedure was diagnostic (i.e., biopsy), or the thickness of a skin graft. Precise physician documentation is essential for assigning this character as well.

Dissection of a Spinal Fusion Code

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.

Integral versus Non-Integral

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.