ICD 10 Coding Alert
Examine How PCS Organizes Root Operations
Key: Boil down what physician performed to match root operation definitions.
If you want a complete picture of ICD-10 going into effect in 2013, you should not overlook ICD-10-PCS. Take a minute to examine root operations.
When reporting ICD-10-PCS, you have to really break down what the physician performed into one of 31 root operations.
You can find them grouped together like this:
Underneath these nine categories, you'll find the 31 root operations.
Example: Suppose your physician performs an open cholecystectomy. This means that the physician surgically removes the galbladder. You would thus categorize this as a "root operation that takes out some/all of a body part."
Underneath that section, you'll find five of the root operations grouped here:
Because the root operation of "resection" is defined as "cutting off, without replacement, all of a body part," you would classify the cholecystetomy as a resection. Therefore, you would use "T" as your root operation, which represents resection.
You would report 0FT40ZZ, which means:
0 - Medical/Surgical (section)
F - Hepatobilliary system and pancreas (body system)
T - Resection (root operation)
4 - Gallballer (body part)
0 - Open (approach)
Z - None (device)
Z - None (qualifier).
Challenge: What if your physician performed multiple procedures with distinct objectives (such as a procedure that removes some/all of a body part as well as a procedure that involved a device)? Then you should report multiple codes.
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