March 18, 2013 | | Comments 0
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ICD-10-PCS root operation change will do you good

We all know that procedure coding will change considerably on October 1, 2014 with the implementation of ICD-10-PCS. But what about change as an ICD-10-PCS root operation?

In ICD-10-PCS, you will use the root operation change for procedures that involve:

  • Removing a device then immediately inserting a similar device
  • Exchanging  the device without making an incision or puncturing the skin or mucous membrane

So, if the physician removes a patient’s percutaneous endoscopic gastrostomy (PEG) tube and immediately inserts a new one, report 0D20XUZ (change feeding device, upper intestinal track, external approach).

A change procedure always involves a device, but you need to make sure you are coding the correct device. For a change involving the upper intestinal track, we have three device possibilities:

  • 0, drainage device
  • U, feeding tube
  • Y, other device

The approach for a change procedure is always external.

Other change procedures include:

  • 0S2YX0Z, exchange of drainage tube from right hip joint (the body part for this code is very general—simply lower joint, so regardless of which joint is involved, you’ll report this code)
  • 0B21XFZ, tracheostomy tube exchange
  • 0W29X0Z, Change chest tube for right pneumothorax
  • 0020X0Z, exchange of cerebral ventriculostomy drainage tube
  • 0T2BX0Z, foley urinary catheter exchange (the device is a drainage tube because a foley catheter drains urine)

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Filed Under: Coding

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Michelle A. Leppert About the Author: Michelle A. Leppert, CPC, is a senior managing editor for JustCoding.com. JustCoding provides coders, coding supervisors, and health information management (HIM) directors with educational resources to test their coding knowledge, employ correct coding guidelines, and stay abreast of CMS transmittals.

In addition, she writes and edits the HCPro publication, Briefings on Coding Compliance Strategies. Email her at mleppert@hcpro.com.

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