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ICD-10-PCS
Root Operation
| Question | Answer |
|---|---|
| Which PCS root operation means "Boring a new passage through a body part"? | Bypass |
| Which procedures are usually coded to anatomical regions if a specific organ isn’t documented? | Control, Extirpation, Fragmentation, Insertion, Inspection, Removal, or Revision. |
| Which body systems are grouped under sense organs in ICD-10-PCS? | Eye, Ear, Nose, and Sinus. |
| What is coded under "Transfusion" in the Circulatory System's administration section? | Putting in blood or blood products. |
| Which root operation means "cutting into a body part without draining fluids" in PCS? | Division. |
| What character position in ICD-10-PCS specifies the body part operated on? | The fourth character. |
| Give an example of a PCS root operation for an angioplasty. | Dilation (expanding a vessel). |
| What is the ICD-10-PCS code range for the Eye? | Character 2 "C": Eye. |
| What root operation describes restoring a body part to its normal structure and function in the heart? | Repair. |
| Name three sections of the nervous system in ICD-10-PCS. | Central Nervous System, Cranial Nerves, Peripheral Nervous System. |
| When is "Anatomical Regions, Upper Extremities" used in ICD-10-PCS? | When coding detachments (amputations) involving all body layers of the extremity. |
| What is the ICD-10-PCS code range character for the respiratory system? | Character 2 "B".[8][7] |
| Which character in ICD-10-PCS specifies the approach used? | The fifth character. |
| What does "Repair" mean as a root operation in ICD-10-PCS for the nervous system? | Restoring a body part to its normal anatomical structure and function. |
| Which five systems make up the ICD-10-PCS circulatory system division? | Heart & Great vessels, Upper arteries, Lower arteries, Upper veins, Lower veins. |
| What code is used for mechanical ventilation over 96 hours? | 5A1955Z. |
| What kind of procedures on the nose may be coded in sense organs? | Excision, Drainage, Repair, etc.. |
| What does the ICD-10-PCS body part value "0" specify in the Central Nervous System? | Brain |
| Name a root operation commonly performed on the lungs. | Excision (removal of part of lung tissue). |
| What is the purpose of the Anatomical Regions body systems in ICD-10-PCS? | To code procedures on body cavities, multiple layers/large surfaces, or unspecific body sites when no other system fits |
| What root operation is used for removing an eye prosthesis in PCS? | Removal. |
| What does "Insertion" mean in a sense organ ICD-10-PCS code? | Putting in a nonbiological device to assist, perform, or prevent function. |
| Give an example of a body part in the Peripheral Nervous System ICD-10-PCS code range. | Cervical plexus. |
| What is the purpose of a gastrointestinal “Bypass” procedure? | To reroute the normal flow of contents to another location (e.g., for colostomy). |
| Which gland is known as the master gland in the endocrine system? | Pituitary gland. |
| What is the main difference between “Fusion” and “Repair” of a joint? | Fusion permanently unites bones across a joint; repair restores normal structure using sutures or materials. |
| What is the PCS root operation for removal of a portion of a thyroid nodule? | Excision. |
| When must sides be coded separately for bilateral bones or joints? | When no “bilateral” option exists in the PCS table for the body part. |
| What root operation is assigned for a complete adrenal gland removal? | Resection. |
| What is coded for cutting through a muscle or tendon without removing it | Division. |
| For what procedures is the “Drainage” root operation used in the muscular system? | Removing fluid from an inflamed bursa (e.g., for bursitis). |
| Which root operation is used for autologous tissue expansion (e.g., tissue expander placement)? | Insertion. |
| What determines the primary body part coded when multiple tissue layers are involved? | The deepest layer treated during the procedure. |
| What defines the “Reposition” root operation in the skeletal system? | Restoring a displaced bone or joint to its normal location. |
| What major organs are included in the hepatobiliary system? | Liver, gallbladder, pancreas, and associated ducts. |
| Define the PCS root operation “Excision” in the GI system | removal of a portion of a body part without replacement (e.g., polyp removal). |
| Name two typical root operations used in the lymphatic system. | Excision and Resection. |
| What is the root operation for freeing a trapped muscle or tendon? | Release. |
| What device character might be used when coding insertion of an intramedullary rod? | 6 – Intramedullary Fixation Device. |
| What approach value is used for minimally invasive, scope-assisted bone procedures? | 4 – Percutaneous Endoscopic. |
| What is coded if a skin graft is fully detached before transfer? | Replacement. |
| What is coded for the infusion of bone marrow or stem cells? | Administration. |
| What body part is selected when coding a skin procedure over the wrist? | Lower Arm. |
| Which layers are included in a full-thickness skin graft? | Both epidermis and dermis. |
| Difference between “Repair” and “Reattachment” for tendons? | Repair joins torn ends together; reattachment restores a completely detached tendon to its normal location. |
| What differentiates “Resection” from “Excision”? | Resection is removal of the entire body part; excision is only part of it. |
| When is the “Extraction” root operation applied in the integumentary system? | For non-excisional debridement or medical liposuction. |
| What approach character is used for a procedure done with an endoscope via a natural opening? | 8 – Via Natural or Artificial Opening Endoscopic. |
| Which root operation describes anchoring a tendon to bone at a new site? | Reposition (Tenodesis). |
Created by:
cinthiajones31