1. Answer: upper, scapula, clavicle Rationale: The body part value Forequarter describes the entire upper limb plus the scapula and clavicle. 3. Answer: d Rationale: This is a complete detachment of the 3rd day, based on the definition of amputation through the tarsal-metatarsal joint of the foot. This definition is the same as amputation at the most proximal portion of the metatarsal. 5. Answer: True Rationale: The body part value describes the body part at the start of the procedure and the qualifier describes the body part created in the surgical procedure. Procedure statement coding 1. Root: Repair; Code: 0WQ6XZ2 Rationale: This procedure involves the repair of the neck (Anatomical regions, general), rather than revision of the tracheostomy tube, therefore the root operation is Repair. The approach is X, External and the qualifier is 2, Stoma. 3. Root operation: Alteration; Code: 0Y0C3ZZ Root operation: Alteration; Code: 0Y0D3ZZ Root operation: Alteration; Code: 0W0F0ZZ Rationale: These procedures are cosmetic in nature. There are individual body part values for each thigh region (upper leg). There is a single body part value for the abdominal wall. The liposuction is performed percutaneously and the abdominoplasty is an open procedure. No devices or qualifiers are appropriate for either procedure. 5. Root: Detachment; Code: 0X6W0Z0 Rationale: Because the supernumerary digit contains bone and nail, the root operation Detachment is coded. If the supernumerary digit was composed only of skin, the root operation Destruction would be assigned. The qualifier value 0 is for a complete amputation of the little finger of the left hand. Case study coding 1. ICD-10-PCS code: 0W9900Z Rationale: Insertion of a chest tube is coded to the root operation Drainage, with a device value of 0 for a drainage device. The body part value of 9 is assigned for the pleural cavity on the right side.
1. Answer: upper, scapula, clavicle Rationale: The body part value Forequarter describes the entire upper limb plus the scapula and clavicle. 3. Answer: d Rationale: This is a complete detachment of the 3rd day, based on the definition of amputation through the tarsal-metatarsal joint of the foot. This definition is the same as amputation at the most proximal portion of the metatarsal. 5. Answer: True Rationale: The body part value describes the body part at the start of the procedure and the qualifier describes the body part created in the surgical procedure. Procedure statement coding 1. Root: Repair; Code: 0WQ6XZ2 Rationale: This procedure involves the repair of the neck (Anatomical regions, general), rather than revision of the tracheostomy tube, therefore the root operation is Repair. The approach is X, External and the qualifier is 2, Stoma. 3. Root operation: Alteration; Code: 0Y0C3ZZ Root operation: Alteration; Code: 0Y0D3ZZ Root operation: Alteration; Code: 0W0F0ZZ Rationale: These procedures are cosmetic in nature. There are individual body part values for each thigh region (upper leg). There is a single body part value for the abdominal wall. The liposuction is performed percutaneously and the abdominoplasty is an open procedure. No devices or qualifiers are appropriate for either procedure. 5. Root: Detachment; Code: 0X6W0Z0 Rationale: Because the supernumerary digit contains bone and nail, the root operation Detachment is coded. If the supernumerary digit was composed only of skin, the root operation Destruction would be assigned. The qualifier value 0 is for a complete amputation of the little finger of the left hand. Case study coding 1. ICD-10-PCS code: 0W9900Z Rationale: Insertion of a chest tube is coded to the root operation Drainage, with a device value of 0 for a drainage device. The body part value of 9 is assigned for the pleural cavity on the right side.
AC201111_AppendixB_updatedkey.docx