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2012 ICD-10-PCS
Coding Exercises Answers
Part 4
- Answer:
0BYM0Z0 Root Operation: Transplantation Transplantation, Lung, Bilateral (0BYM0Z)
Rationale: Section Medical and Surgical 0 Body System Respiratory System B Root Operation Transplantation Y Body Part Lungs, Bilateral M Approach Open 0 Device No Device Z Qualifier Allogeneic 0
Index: Transplantation
- Answer:
09M1XZZ Root Operation: Reattachment Reattachment, Ear, Left (09M1XZZ)
Rationale: Section Medical and Surgical 0 Body System Ear, Nose, Sinus 9 Root Operation Reattachment M Body Part External Ear, Left 1 Approach External X Device No Device Z Qualifier No Qualifier Z
Index: Reattachment
- Answer:
0XMJ0ZZ Root Operation: Reattachment Reattachment, Hand, Right (0XMJ0ZZ)
Rationale: Section Medical and Surgical 0 Body System Anatomical Regions, Upper Extremities X Root Operation Reattachment M
Body Part Hand, Right J Approach Open 0 Device No Device Z Qualifier No Qualifier Z
Index: Reattachment. The body system is not skin, but rather the Upper Extremity Anatomical Region because the procedure is performed on body layers that span more than one body system.
- Answer: 0LXW0ZZ Root Operation: Transfer Transfer, Tendon, Foot, Left (0LXW) Rationale: Section Medical and Surgical 0 Body System Tendons L Root Operation Transfer X Body Part Foot Tendon, Left W Approach Open 0 Device No Device Z Qualifier No Qualifier Z
Index: Transfer
Utilize the Reference – Body Part Key by Anatomical Term. See Appendix A of these training materials. The flexor digitorum brevis tendon is in the foot. There is no specific Index entry for Flexor digitorum brevis tendon, but there is an Alphabetic Index entry for Flexor digitorum brevis muscle ( use Muscle, Foot). Knowing that tendons are named for their muscles will also help in the selection of the correct body part value.
- Answer: 01X64Z5 Root Operation: Transfer Transfer, Nerve, Radial (01X6)
Rationale: Section Medical and Surgical 0 Body System Peripheral Nervous System 1 Root Operation Transfer X Body Part Radial Nerve 6 Approach Percutaneous Endoscopic 4 Device No Device Z Qualifier Median Nerve 5
Index: Transfer. This is a radial nerve transfer to the median nerve. In the Alphabetic Index, the body part selected is Radial because that is the nerve being transferred. The qualifier in this case would describe the site receiving the transfer (median).
Qualifier No Qualifier Z
Index: Reposition. See Coding Guideline B4.5. This procedure was performed on the ligament, not the entire joint structure. The body part of Bursae and Ligaments is assigned (M) rather than Lower Joint (S). Review the Body Part Key by Anatomical Term in Appendix A of these training materials. Using the Body Part Key, Anterior Cruciate Ligament = Knee Bursa and Ligament.
Note: The Alphabetic Index can also be used to locate the correct body part value for the anterior cruciate ligament. Index: Anterior cruciate ligament (ACL), use Bursa and Ligament, Knee, Right.
- Answer: 0QS734Z Root Operation: Reposition Reposition, Femur, Upper, Left (0QS7)
Rationale: Section Medical and Surgical 0 Body System Lower Bones Q Root Operation Reposition S Body Part Upper Femur, Left 7 Approach Percutaneous 3 Device Internal Fixation Device 4 Qualifier No Qualifier Z
Index: Reduction, Fracture, see Reposition
Review Coding Guideline B3.15 regarding the root operation Reposition. The body system is Lower Bone, not Joint, because the bone was repositioned. An intertrochanteric fracture is in the proximal, upper part of the femur. The proximal femur consists of the femoral head, femoral neck, and the trochanteric region. The trochanters are included in the Femur, Upper body part.
