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Root Operations Group 5

Root Operations Group 5. Presented by: THIMA ICD 10 Committee. Altering the diameter or root of a tubular body part. Bypass. Altering the route of passage of the contents of a tubular body part. Image: Debakeydepartmentofsurgery.org. Coding Guideline B3.6a.

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Root Operations Group 5

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  1. Root Operations Group 5 Presented by: THIMA ICD 10 Committee

  2. Altering the diameter or root of a tubular body part

  3. Bypass Altering the route of passage of the contents of a tubular body part Image: Debakeydepartmentofsurgery.org

  4. Coding Guideline B3.6a Bypass procedures are coded by identifying the body part bypassed “from” and the body part bypassed “to.” The fourth character body part specifies the body part bypassed from, and the qualifier specifies the body part bypassed to.

  5. Your Turn to Practice Bypass from stomach tojejunum, stomach is the ? and jejunum is the ? What is the qualifier for a colostomy? What would make the term esophagoenterostomy difficult to code?

  6. Coding Guideline B3.6b • Coronary arteries are classified by number of distinct sites treated, rather than number of coronary arteries or anatomic name of a coronary artery (e.g., left anterior descending). • Coronary artery bypass procedures are coded differently than other bypass procedures as described in the previous guideline. • Rather than identifying the body part bypassed from, the body part identifies the number of coronary artery sites bypassed to, and the qualifier specifies the vessel bypassed from.

  7. Coding Guideline B3.6c If multiple coronary artery sites are bypassed, a separate procedure is coded for each coronary artery site that uses a different device and/or qualifier.

  8. Coding Guideline B3.9 If an autograft is obtained from a different body part in order to complete the objective of the procedure, a separate procedure is coded.

  9. Does anterior resection of rectum with synchronous colostomy require one code or two?

  10. Dilation Expanding an orifice or the lumen of a tubular body part Image: yalemedicalgroup.org

  11. Coding Guideline B4.4 The coronary arteries are classified as a single body part that is further specified by number of sites treated and not by name or number of arteries. Separate body part values are used to specify the number of sites treated when the same procedure is performed on multiple sites in the coronary arteries.

  12. Occlusion Completely closing an orifice or the lumen of a tubular body part Image: Medline Plus

  13. Restriction Partially closing an orifice or the lumen of a tubular body part Image: yalemedicalgroup.org

  14. Your Turn to Practice

  15. Gastrojejunostomy Bypass Image: Debakeydepartmentofsurgery.org

  16. Laparoscopic vertical sleeve gastrectomy Excision Image: Vanderbilthealth.com

  17. Gastric banding Restriction Image: MedlinePlus

  18. Suture ligation of failed AV graft Occlusion Image: http://kidney.niddk.nih.gov

  19. Ventriculoperitoneal shunt Bypass Image: MedlinePlus

  20. My wheels are turning, I think I’m getting it!!!!!!! ICD 10 makes no sense????? Your brain on I-10 Your brain on I-9

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