SOLUTIONS GRADED A+
✔✔Alphabetic Index PCS - ✔✔To locate the appropriate table that contains all
information necessary to construct a procedure code
✔✔And - ✔✔When used in a code description means and/or
✔✔Upper and lower body parts - ✔✔Specifies body parts above or below the
diaphragm respectively
✔✔Multiple procedures during the same operative episode - ✔✔a) if the same root
operation is performed on different body parts
b) the same root operation is repeated at different body sites that are included in the
same body part value
c) multiple root operations with distinct objectives are performed on the same body part
d) the intended root operation is attempted using one approach, but is converted to a
different approach.
✔✔Intended procedure discontinued - ✔✔Code the procedure to the root operation
performed
✔✔Procedure discontinued before root operation is performed - ✔✔Code the root
operation inspection of the body part or anatomical region inspected
✔✔Biopsy procedure - ✔✔Coded using; excision, extraction, or drainage + the qualifier
diagnostic
(qualifier diagnostic is used only for biopsies)
✔✔Biopsy + more definitive procedures - ✔✔Both are coded
✔✔Overlapping layers - ✔✔The body part with the deepest layer is coded
✔✔Bypass procedures - ✔✔The body part bypassed from and to. The fourth character
is the from and the qualifier is the to
✔✔Coronary arteries - ✔✔Classified by number of distinct sites treated
✔✔Multiple coronary artery sites bypassed - ✔✔A separate procedure is coded for each
coronary artery site that uses a different device and/or qualifier
✔✔Root operation Control - ✔✔Stopping or attempt to stop post-procedural bleeding; if
unsuccessful and another more definitive root operation is performed code that instead
of control
, ✔✔Resection - ✔✔All of a specific body part is cut out or off
✔✔Excision - ✔✔Cutting out of a less specific body part
✔✔Autograph obtained from a different body part - ✔✔A separate procedure is coded
✔✔Fusion of spine - ✔✔Classified by the level of the spine
✔✔Multiple vertebral joints fused - ✔✔Separate procedure is coded for each vertebral
joint that uses a different device and/or qualifier
✔✔Interbody fusion - ✔✔Coded with the device value inter-body device
✔✔Bone graft - ✔✔Device value no autologous tissue substitute or autologous tissue
substitute
✔✔Mixture of autologous and non autologous bone graft - ✔✔Code with device value
autologous tissue subsitute
✔✔Inspection - ✔✔Not coded separately if used to achieve the objective of the
procedure
✔✔Multiple tubular parts inspected - ✔✔Code the most distal part inspected
✔✔Multiple non-tubular parts inspected in a region - ✔✔Body part that specifies the
entire area inspected is coded
✔✔Inspection and another procedure performed at the same time - ✔✔If using a
different approach the inspection is coded seperately
✔✔Occlusion - ✔✔Embolization to completely close a vessel
✔✔Restriction - ✔✔Embolization to narrow the lumen of a vessel
✔✔Release procedure - ✔✔Body part being freed is coded not the tissue being
manipulated
✔✔Relaease - ✔✔Freeing a body part without cutting
✔✔Division - ✔✔Separating or transecting a body part
✔✔Reduction - ✔✔a) Of displaced fracture; coded to the root operation
b) reposition and the application of a cast or splint; reposition is not coded separately