J- Inspection - Answers Visually and/or manually exploring a body part.
Visual exploration may be performed with or without optical instrumentation. Manual exploration
may be performed directly or through intervening body layers.
Examples: Diagnostic arthroscopy, exploratory laparotomy
0 - Alteration - Answers Modifying the natural anatomic structure of a body part without affecting the
function of the body part.
Purpose to improve appearance
Examples: Face lift, breast augmentation
1 - Bypass - Answers Altering the route of passage of the contents of a tubular body part.
Examples: Coronary artery bypass, colostomy formation
Y-Transplantation - Answers Putting in or on all or a portion a living body part taken from another
individual or animal to physically tale the place and/or function of all or a of a similar body part
T - Resection - Answers Cutting out or off, without replacement, all of a body part.
Examples: total nephrectomy, total lobectomy of the lung
U - Supplement - Answers Putting in or on biological or synthetic material that physically reinforces
and/or augments the function of a portion of a body part.
The biological material is non-living, or is living and from the same individual. The body part may have
been previously replaced, and the SUPPLEMENT procedure is prerformed to physically reinforce
and/or augment the function of the replaced body part.
Examples: Herniorrhaphy using mesh, free nerve graft, mitral valve ring annuloplasty, put a new
acetabular liner in a previous hip replacement.
C - Extirpation - Answers Taking or cutting out solid matter from a body part.
The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be
imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have
been previously broken into pieces.
Examples: Thrombectomy, choledocholithotomy, endarterectomy
9 - Drainage - Answers Taking or letting out fluids and/or gases from a body part.
The qualifier "diagnostic" is used to identify drainage procedures that are biopsies.
Examples: Thoracentesis, incision and drainage
4 - Creation - Answers Making a new genital structure that does not take over the function of a body
part.
Used only for sex change operations
H - Insertion - Answers Putting in a nonbiological applicance that monitors, assists, performs, or
prevents a physiological function but does not physically take the place of a body part.
Example: Insertion of radioactive implant, insertion of central venous catheter
K-Map - Answers Locating the route of passage of electrical impulses and/or location functional areas
of a body part.
Applicable only to cardiac conduction mechanism and the central nervous system.
Examples: cardiac mapping, cortical mapping
F - Fragmentation - Answers Breaking solid matter ina body part into pieces.
Physical frce (eg manual, ultrasonic) applied directly or indirectly throuh intervening body parts are
used to break the solid matter into pieces. The solid matter may be abnormal byproduct of a
biological function or a foreign body. The pieces of solid matter are not taken out, but are sliminated
or absorbed through normal biological functions.
Examples: Extracorporeal shockwave lithotripsy, transurethral lithotripsy
P - Removal - Answers Taking out of off a device from a body part.
If a device is taken out a similar device put in without cutting or puncturing the skin or mucous
membrance, the procedure is coded to the root operation CHANGE. otherwise, the procedure for
taking out the device is coded to the root operation REMOVAL and the procedure for putting in the
new device is coded to the root operation performed.
Examples: Drainage tube removal, cardiac pacemaker removal
L - Occlusion - Answers Completely closing an orifice or lumen of a tubular body part.
The orifice can be natural or artificially created.
Examples: fallopian tube ligation, ligation of inferior vena cava