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?
- 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)