Title: Root Operations Part 2
Course: Intermediate Coding and Classification Systems > Section: Module 4: Root Operations Part 2

Introduction

Wonderful! You have gained more knowledge on the structure and format of ICD-10-PCS. You will be concentrating on learning more root operations pertaining to the Medical Surgical Section, the largest section in ICD-10-PSC.

This week you will cover Chapters 4 to learn six root operations that Cut or Separate, Put in or Put Back, or Move body parts and Chapter 5 root operations that Alter Diameter or Route of Body Parts, or Involve a Device. APPENDIX A provides all the root operations and Approaches with examples. In addition, the PowerPoint on Root Operations and Anatomy Review will assist in breaking the roots into types. Review this power point provided in your resources for the course.

Root Operations to Know:

- Division
- Release
- Transplantation
- Reattachment
- Transfer
- Reposition
- Restriction
- Occlusion
- Dilation
- Bypass
- Insertion
- Replacement
- Supplement
- Removal
- Revision

As you read through Chapters 4 and 5 take note of the Coding Guidelines (CG) under each root operation and the explanations associated with each.

When the physician documents “partial resection” the coder should correlate this documentation to the root operation of Excision without querying the physician for clarification.

Course Outcomes

- Describes the basic coding steps for coding medical procedures in both ICD-9-CM and ICD-10-PCS. (1)
- Interprets the basic coding guidelines established by the American Hospital Association for both ICD-9-CM and ICD-10-PCS. (2)
- Converts medical documentation into both ICD-9-CM and ICD-10-PCS codes. (3)
- Applies the official coding guidelines to the coding of medical procedures for all body systems (circulatory, respiratory, musculoskeletal, urinary, blood organs, reproductive, gastrointestinal, etc.) (4)
- Compares and contrasts the differences between the ICD-9-CM and ICD-10-PCS classification systems. (8)

Objectives

Upon completion of this module you should be able to:

- List the root operations in the grouping that involve cutting or separation only.
- Distinguish between the two root operations Division and Release.
- List the root operations that put in/put back or move some or all of a body part.
- State the definition of the root operations Transplantation, Reattachment, Transfer and Reposition.
- List some of the complex organs that are currently transplanted.
- Identify the correct coding of cornea, blood marrow and pancreatic cell transplants.
- Define the three Qualifiers available for Transplantation procedures.
- Describe Reattachment procedures and the restoration or non-restoration of the blood and nerve supply to the reattached body part.
- Discuss the criteria for the use of the Transfer root operation and Qualifiers for multi-layer Transfer procedures.
- Identify the types of procedures classified as Reposition root operations.
- Discuss when Reposition is used for displaced fracture replacement and the correct coding of non-displaced fractures.
- List the root operations in the grouping that alter the diameter or route of a tubular body part.
- Distinguish between the two root operations Restriction and Occlusion.
- Discuss the designation of the body part value for coronary arteries in the Dilation root operation.
- Identify how Dilation procedures with multiple device values are coded in ICD-10-PCS.
- Distinguish between the proper coding of non-coronary artery and coronary artery Bypass procedure coding.
- List the root operations that always involve a device.
- Distinguish between the root operations Removal, Revision and Change
- Code procedures

Readings & Resources

- Chapters 4 AND 5
- Complete all exercises and check your answers
- Review Coding Guidelines on root operations
- Read Coding Tips