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ICD-10-PCS STUDY GUIDE

Terms in this set (72)

D
This patient had a complete removal of the left lobe of the right lung after a biopsy of the site proved to be malignant. How is this procedure coded?

A. As an excision only
B. As a resection only
C. As a resection for both the procedures
D. As an excision for the biopsy and a resection for the removal
D
What is the code used to report a percutaneous removal of a stellate ganglion on the right side, with endoscopic assistance?

A. 01BK0ZZ
B. 01BK3ZZ
C. 01BK4ZX
D. 01BK4ZZ
C
This patient has a vocal cord polyp on the right side that is ablated via a laryngoscopic laser procedure. What is the code for this procedure?

A. 0C5V8ZZ
B. 0C5T7ZZ
C. 0C5T8ZZ
D. 0C5V7ZZ
C
The patient has a needle biopsy of the bone marrow, iliac bone on the right side. What is the code used to report this procedure?

A. 0QB23ZX
B. 0QB23ZZ
C. 07DR3ZX
D. 07DR3ZZ
B
What code is used to report a needle biopsy of the liver?

A. 0FB03ZZ
B. 0FB03ZX
C. 0FB04ZZ
D. 0FB00ZX
A
What is the code used to report a left-sided amputation of the arm at the shoulder level?

A. 0X630ZZ
B. 0X620ZZ
C. 0Y630ZZ
D. 0Y620ZZ
D
The patient has a total removal of the right upper lobe of the right lung via thoracotomy. What is the code used to report this procedure?

A. 0BBG0ZZ
B. 0BBC0ZZ
C. 0BTG0ZZ
D. 0BTC0ZZ
A
This patient has electrosurgical fulguration of an ovarian cyst via laparoscopy. The cyst was on the right ovary. What code is used to report this procedure?

A. 0U504ZZ
B. 0U500ZZ
C. 0U503ZZ
D. 0U514ZZ
A
Suction dilation and curettage is an example of the root operation Extraction.

A. True
B. False
D
What is the root operation chosen for a non-excisional debridement of a skin ulcer, right foot?

A. Excision
B. External
C. Extirpation
D. Extraction
D
Which of these terms is a root operation that take out solids, fluids, or gases?

A. Division
B. Excision
C. Removal
D. Drainage
C
Which ICD-10-PCS table is used to code removal of a foreign body from the left big toe?

A. 0HD
B. 0JC
C. 0HC
D. 0JD
B
When lithotripsy is performed on a common bile duct stone and the fragments are removed as part of the procedure, the root operation is fragmentation.

A. True
B. False
C
What is the correct ICD-10-PCS code for a diagnostic left tarsal joint arthrotomy?

A. 0S9J0ZZ
B. 0S9H0ZZ
C. 0S9J0ZX
D. 0S9H0ZX
D
What is the correct ICD-10-PCS code for the removal of a bean from the right nostril?

A. 09CK3ZZ
B. 09C03ZZ
C. 0WC3XZZ
D. 09CKXZZ
C
Which procedure is an example of the root operation drainage?

A. Drainage tube change
B. Incision of scar contracture, right elbow
C. Incision and drainage (I&D) of perinephric cyst
D. Exchange of drainage tube from right hip joint
A,B,C,D,E,F
Which of the following body parts are sites for procedures that eliminate solids, fluids, and gases? Select all that apply.

A. Cranial Cavity
B. Oral Cavity and Throat
C. Pleural Cavity, Right
D. Pleural Cavity, Left
E. Gastrointestinal Tract
F. Respiratory Tract
C
Which root operation is used to report a thoracotomy with crushing of pericardial calcifications?

A. Drainage
B. Extirpation
C. Fragmentation
D. Destruction
B
Which root operation is used to report a laparoscopy with excision of old suture from mesentery?

A. Resection
B. Extirpation
C. Excision
D. Extraction
correct answer: A

The bilateral ureter body part value is not available for the root operation Fragmentation, so the procedures are coded separately.
An extracorporeal shock-wave lithotripsy (ESWL) of bilateral ureters is performed. Two codes are used to report this procedure.

A. True
B. False
B
The objective of release procedures is to separate all or a portion of a body part.

A. True
B. False
C
Which statement pertains to the root operation "division"?

A. Some of the restraining tissue may be taken out.
B. The procedure can be performed on attachments to the body part.
C. Transecting the body part is the objective of the procedure.
D. Force may be used to perform the procedure.
C
Which code is used to report an open release of the Achilles tendon on the right leg?

A. 0LNS0ZZ
B. 0LNV0ZZ
C. 0LNN0ZZ
D. 0LQN0ZZ
D
What is the procedure code for an open osteotomy of the left metatarsal to treat metatarsalgia?

A. 0Q8M0ZZ
B. 0Q8N0ZZ
C. 0Q8P3ZZ
D. 0Q8P0ZZ
B
What procedure code is used to report a percutaneous lumbar cordotomy for pain control?

A. 008Y0ZZ
B. 008Y3ZZ
C. 008Y4ZZ
D. 008X0ZZ
D
What is the code used to report hysteroscopy with lysis of adhesions of the uterus?

A. 0U840ZZ
B. 0U844ZZ
C. 0UN97ZZ
D. 0UN98ZZ
B
What code is used to report an EGD with esophagomyotomy of esophagogastric junction?

A. 0D847ZZ
B. 0D848ZZ
C. 0DN47ZZ
D. 0DN48ZZ
B
Which body system is used to report a sacral rhizotomy for pain control, percutaneous?

A. Central Nervous
B. Peripheral Nervous
C. Sympathetic Nervous
D. Lumbar Sympathetic Nervous
B
What root operation is used to report manual rupture of right shoulder joint adhesions under general anesthesia?

A. Rupture
B. Release
C. Division
D. Reposition
B
A laparotomy with exploration and adhesiolysis of right ureter is reported with the root operation Division.

A. True
B. False
D
A right lung transplant from an identical twin is performed. What is the ICD-10-PCS code for this example?

A. 0BYK0Z0
B. 0BYF0Z0
C. 0BYC0Z2
D. 0BYK0Z1
B
Percutaneous fascia transfer is performed to fill a defect on the face. What is the ICD-10-PCS code for this example?

A. 0JX10ZZ
B. 0JX13ZZ
C. 0JX03ZC
D. 0JX03ZB
D
Which statement is true of the root operation reattachment?

A. Debridement of tissue is unlikely.
B. The body part remains connected to its vascular and nervous supply.
C. Another term for reattachment is reposition.
D. Nerves and blood vessels may or may not be reconnected.
B
When the root operation transfer is performed, what information can be specified by the 7th character, the qualifier?

A. The genetic compatibility of the material being transferred.
B. More than one tissue layer for certain body parts was used in the transfer.
C. The tissue is autologous or nonautologous.
D. A device is left in the body.
A
Which example represents the root operation repositioning?

A. Open reduction internal fixation of a displaced fracture
B. Casting of a hairline fracture of the ulna
C. Pinning of a nondisplaced ankle fracture
D. Splinting of a sprained finger
C
When performing the root operation Transfer, what does the body system character describe?

A. The location where the tissue was harvested
B. The destination of the transferred tissue
C. The deepest tissue layer in the flap
D. Whether the tissue is synthetic
D
Which root operation describes the moving of a body part to a normal or other suitable location?

A. Transplantation
B. Reattachment
C. Transfer
D. Reposition
C
Which character represents the root operation Reattachment?

A. Y
B. X
C. M
D. S
B
Which code is reported for a laparoscopy with gastropexy for malrotation?

A. 0DQ64ZZ
B. 0DS64ZZ
C. 0DQ63ZZ
D. 0DS68ZZ
A
Which root operation is used to report an open transposition of the ulnar nerve?

A. Reposition
B. Transfer
C. Bypass
D. Revision
C
Which root operation is used to report an open transposition of the ulnar nerve?

A. Reposition
B. Transfer
C. Bypass
D. Revision
D
A patient has an esophageal stricture, and an esophagogastroduodenoscopy (EGD) with dilation is performed. What is the ICD-10-PCS code for this procedure?

A. 0D753ZZ
B. 0D754ZZ
C. 0D757ZZ
D. 0D758ZZ
B
A patient has an aneurysm of the internal left carotid artery. Embolization with intraluminal coil insertion is accomplished endoscopically, with full occlusion of the aneurysm. What is the ICD-10-PCS code?

A. 03LK3DZ
B. 03LL4DZ
C. 03LL3DZ
D. 03LL4ZZ
A
A morbidly obese patient has gastric bypass surgery performed, using an open Roux-en-Y procedure with bypass of the stomach to the jejunum. What is the ICD-10-PCS code for this procedure?

A. 0D160ZA
B. 0D164ZA
C. 0D168ZA
D. 0D1647A
D
A patient has an off-pump coronary artery bypass graft of the left anterior descending artery, with the left internal mammary as the source of the bypass. What is the ICD-10-PCS code?
A
A patient has coronary artery disease (CAD), and a PTCA is performed on the left anterior descending (LAD) and right coronary arteries (RCA), with stent insertion into the RCA. What are the ICD-10-PCS codes for this procedure?

A. 02703DZ, 02703ZZ
B. 027034Z, 02703ZZ
C. 02713DZ, 02713ZZ
D. 02704DZ, 02704ZZ
B....Dilation is correct
The root operation for a PTA of right brachial artery stenosis is occlusion.

A. True
B. False
B
Which root operation is used to report a fallopian tube ligation?

A. Restriction
B. Occlusion
C. Excision
D. Bypass
D
What code is used to report the percutaneous restriction of a thoracic duct with an intraluminal stent?

A. 07VK4DZ
B. 0FVD3DZ
C. 07BK3ZZ
D. 07VK3DZ
A
A uterine artery embolization is reported with the root operation Occlusion.

A. True
B. False
B
Which root operation can be accomplished only by using an external approach?

A. Revision
B. Change
C. Replacement
D. Supplement
B
A patient has an ankle replacement, and the native ankle joint is removed before the prosthesis is implanted. The resection of the native ankle joint is coded separately as a removal procedure.

A. True
B. False
A
The percutaneous replacement of a broken pacemaker lead in left atrium was performed. The broken pacemaker lead was removed. This procedure is reported with the use of two codes.

A. True
B. False
A
What code is used to report a transcatheter replacement of pulmonary valve using of bovine jugular vein valve?

A. 02RH38Z
B. 02RH48Z
C. 02RH3JZ
D. 02RH4JZ
B
Which root operation is used to report procedures that are discontinued without any other root operation being performed?

A. Introduction
B. Inspection
C. Insertion
D. Examination
B
Which root operation is used to report procedures where the sole objective is to examine a body part?

A. Introduction
B. Inspection
C. Insertion
D. Examination
B,C

The root operation Map is applicable only to the heart and great vessels, and the central nervous system and cranial nerves body systems.
Which of the following systems are applicable to the root operation Map? Select all that apply.

A. peripheral nervous system
B. heart and great vessels
C. central nervous system and cranial nerves
D. digestive system
E. sympathetic nervous system
F. general body system
A
A laparotomy with palpation of liver is an example of an Inspection root operation?

A. True
B. False
C

Reference the index under the main term Map and subterm cerebellum. A craniotomy is an open approach.
What is the correct code for intraoperative cerebellum mapping via a craniotomy?

A. 00K00ZZ
B. 00KC3ZZ
C. 00KC0ZZ
D. 00K73ZZ
D.....Because a laparotomy was done, the approach is open.
What is the correct code for a laparotomy with palpation of the liver?

A. 0FJ0XZZ
B. 0FJ40ZZ
C. 0FJ0XZZ
D. 0FJ00ZZ
A....Because a thoracotomy was done, the approach is open.
What is the ICD-10-PCS code for a thoracotomy and exploration of the right pleural cavity?

A. 0WJ90ZZ
B. 0WJ80ZZ
C. 0WJB0ZZ
D. 0WJ94ZZ
B
What root operation is reported for a patient who has a hysteroscopy with cautery of post-hysterectomy oozing and evacuation of a clot?

A. Repair
B. Control
C. Destruction
D. Resection
B........If one of the seven more definitive root operations, bypass, detachment, excision, extraction, reposition, replacement or resection is required to control postprocedural bleeding, that root operation is coded, rather than the control, and the control is not coded.
If a control root operation is unsuccessful and a bypass procedure is subsequently performed to control the postoperative bleeding, both the control and the bypass root operation are coded.

A. True
B. False
A
When reporting a code for the root operation Control, the site of the bleeding is coded as an anatomical region and not to a specific body part.

A. True
B. False
A-F
What root operations are reported instead of Control when they are performed to stop postprocedural bleeding? Select all that apply.

A. Bypass
B. Detachment
C. Excision
D. Extraction
E. Reposition
F. Replacement
A,C,D,E,F
Which statements represent facts about the root operation Repair? Select all that apply.

A. Represents a broad range of procedures for restoring the anatomic structure of a body part.
B. Trimming and reanastomosis of a femorofemoral synthetic bypass graft is an example.
C. Suture of lacerations is an example.
D. Functions as the "not elsewhere classified (NEC)" root operation.
E. Is used when the procedure performed does not meet the definition of one of the other root operations.
F. Herniorrhaphy is an example.
C..... (0W4N0K1)
What is the 6th device character for the creation of a penis in female patient using tissue bank donor graft?

A. Autologous Tissue Substitute 7
B. Synthetic Substitute J
C. Nonautologous Tissue Substitute K
D. No Device Z
B
A 54-year-old patient has an open sacrococcygeal fusion with bone graft from the same operative site. What is the ICD-10-PCS code?

A. 0SG504Z
B. 0SG507Z
C. 0SG50JZ
D. 0SG53JZ
B
The root operation creation is used for many different types of procedures.

A. True
B. False
A-F
Which statements represent facts about the root operation Fusion? Select all that apply.

A. Example is an ankle arthrodesis.
B. By definition only performed on the joints.
C. Qualifier values are used to specify whether a vertebral joint fusion uses an anterior or posterior approach.
D. Qualifier values are used to specify whether the anterior or posterior column of the spine is fused.
E. Represents a limited range of procedures.
F. The body part is joined together by fixation device, bone graft, or other means.
B
Coding for the root operation Creation requires diagnostic confirmation that the surgery is in fact performed to improve appearance.

A. True
B. False
B
What device is used to report Fusion of a vertebral joint using a cage style interbody fusion device containing morsellized bone graft?

A. Autologous Tissue Substitute 7
B. Interbody Fusion Device A
C. Synthetic Substitute J
D. Nonautologous Tissue Substitute K
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