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ICD~10~PCS Complete Code Set 2017

ICD~10~PCS - AAPC · Endocrine System 0G2-0GW ... Alteration 3 Alteration — continued 3f (Aortic) Bioprosthesis valve use Zooplastic Tissue in Heart and Great Vessels A

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Page 1: ICD~10~PCS - AAPC · Endocrine System 0G2-0GW ... Alteration 3 Alteration — continued 3f (Aortic) Bioprosthesis valve use Zooplastic Tissue in Heart and Great Vessels A

ICD~10~PCSComplete Code Set

2017

Page 2: ICD~10~PCS - AAPC · Endocrine System 0G2-0GW ... Alteration 3 Alteration — continued 3f (Aortic) Bioprosthesis valve use Zooplastic Tissue in Heart and Great Vessels A
Page 3: ICD~10~PCS - AAPC · Endocrine System 0G2-0GW ... Alteration 3 Alteration — continued 3f (Aortic) Bioprosthesis valve use Zooplastic Tissue in Heart and Great Vessels A

1ICD-10-PCS 2017

Preface ��������������������������������������������������������������������������������������2

List of Features �������������������������������������������������������������������������3

Official Conventions and Additional Conventions Specific to this ICD-10-PCS Manual ����������������������������������������4

ICD-10-PCS Overview ��������������������������������������������������������������7What is ICD-10-PCS? ���������������������������������������������������������������������������� 7History of ICD-10-PCS �������������������������������������������������������������������������� 7ICD-9-CM Volume 3 Compared with ICD-10-PCS ���������������������� 7ICD-10-PCS Code Structure ��������������������������������������������������������������� 7ICD-10-PCS System Organization ��������������������������������������������������� 9ICD-10-PCS Design �����������������������������������������������������������������������������11ICD-10-PCS Additional Characteristics ����������������������������������������13ICD-10-PCS Applications ������������������������������������������������������������������14

Procedures in the Medical and Surgical Section – Root Operation Groups ���������������������������������������������������������16

Coding Exercises �������������������������������������������������� 17-18, 20-38

Procedures in the Medical and Surgical-related Sections �����39Obstetrics—Section 1 �����������������������������������������������������������������������39Placement—Section 2 ����������������������������������������������������������������������40Administration—Section 3 ��������������������������������������������������������������41Measurement and Monitoring—Section 4 �������������������������������42Extracorporeal Assistance and Performance—Section 5 �����42Extracorporeal Therapies—Section 6 ������������������������������������������43Osteopathic—Section 7 �������������������������������������������������������������������44Other Procedures—Section 8 ��������������������������������������������������������45Chiropractic—Section 9 �������������������������������������������������������������������45

Procedures in the Ancillary Sections �����������������������������������47Imaging—Section B ���������������������������������������������������������������������������47Nuclear Medicine—Section C ��������������������������������������������������������48Radiation Therapy—Section D�������������������������������������������������������48Physical Rehabilitation and Diagnostic Audiology— Section F �������������������������������������������������������������������������������������������������49Mental Health—Section G ���������������������������������������������������������������50Substance Abuse Treatment—Section H �����������������������������������51New Technology—Section X ����������������������������������������������������������51

Coding Exercises �������������������������������������������������������������� 41-52

ICD-10-PCS Official Guidelines for Coding and Reporting ����53

Anatomical Illustrations ��������������������������������������������������������61

ICD-10-PCS Index ������������������������������������������������������������������93

ICD-10-PCS Tables���������������������������������������������������������������199Central Nervous System 001-00X ����������������������������������������������199Peripheral Nervous System 012-01X ����������������������������������������208Heart and Great Vessels 021-02Y�����������������������������������������������215Upper Arteries 031-03W ��������������������������������������������������������������226Lower Arteries 041-04W ��������������������������������������������������������������240Upper Veins 051-05W �������������������������������������������������������������������253Lower Veins 061-06W �������������������������������������������������������������������263Lymphatic and Hemic Systems 072-07Y �������������������������������273Eye 080-08X �������������������������������������������������������������������������������������281Ear, Nose, Sinus 090-09W ������������������������������������������������������������292

Respiratory System 0B1-0BY ������������������������������������������������������303Mouth and Throat 0C0-0CX ��������������������������������������������������������314Gastrointestinal System 0D1-0DY ���������������������������������������������324Hepatobiliary System and Pancreas 0F1-0FY ����������������������342Endocrine System 0G2-0GW �������������������������������������������������������350Skin and Breast 0H0-0HX ������������������������������������������������������������357Subcutaneous Tissue and Fascia 0J0-0JX ������������������������������369Muscles 0K2-0KX ����������������������������������������������������������������������������386Tendons 0L2-0LX ����������������������������������������������������������������������������395Bursae and Ligaments 0M2-0MX ����������������������������������������������405Head and Facial Bones 0N2-0NW ���������������������������������������������419Upper Bones 0P2-0PW �����������������������������������������������������������������431Lower Bones 0Q2-0QW �����������������������������������������������������������������443Upper Joints 0R2-0RW �����������������������������������������������������������������454Lower Joints 0S2-0SW ������������������������������������������������������������������470Urinary System 0T1-0TY ��������������������������������������������������������������484Female Reproductive System 0U1-0UY ���������������������������������495Male Reproductive System 0V1-0VW �������������������������������������506Anatomical Regions, General 0W0-0WW ������������������������������515Anatomical Regions, Upper Extremities 0X0-0XX ��������������525Anatomical Regions, Lower Extremities 0Y0-0YW �������������531Obstetrics 102-10Y ������������������������������������������������������������������������539Placement-Anatomical Regions 2W0-2W6 ����������������������������542Placement-Anatomical Orifices 2Y0-2Y5 �������������������������������549Administration 302-3E1 ���������������������������������������������������������������550Measurement and Monitoring 4A0-4B0 ��������������������������������564Extracorporeal Assistance and Performance 5A0-5A2 �����568Extracorporeal Therapies 6A0-6A9 ������������������������������������������569Osteopathic 7W0 ����������������������������������������������������������������������������571Other Procedures 8C0-8E0 ���������������������������������������������������������572Chiropractic 9WB ���������������������������������������������������������������������������574Imaging B00-BY4 ����������������������������������������������������������������������������575Nuclear Medicine C01-CW7 �������������������������������������������������������616Radiation Therapy D00-DWY ������������������������������������������������������626Physical Rehabilitation and Diagnostic Audiology F00-F15 ������������������������������������������������������������������������642Mental Health GZ1-GZJ ���������������������������������������������������������������658Substance Abuse Treatment HZ2-HZ9 �����������������������������������660New Technology, Cardiovascular System X2C ����������������������663New Technology, Joints XR2 �������������������������������������������������������664New Technology, Anatomical Regions XW0 �������������������������665

Appendix A: Root Operations Definitions ������������������������667

Appendix B: Body Part Key ������������������������������������������������671

Appendix C: Device Key �����������������������������������������������������688

Appendix D: Device Aggregation Table ����������������������������695

Appendix E: Character Meaning ����������������������������������������697

Appendix F: Substance Key �����������������������������������������������767

Appendix G: Combination Clusters �����������������������������������768

Table of Contents

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76

ICD-10-PCS 2017LY

MPH

ATIC

SYS

TEM

An

ATo

MIC

AL

ILLu

STr

ATIo

nS

LYMPHATIC SYSTEM

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93

ICD-10-PCS InDexICD-10-PCS 2017

3f (Aortic) Bioprosthesis valve - Alteration

ICD-10-PCS In

Dex

3f (A

ortic

) B

io

pro

sth

es

is

v

alv

e - A

lte

ra

tio

n

Alteration — continued3 3f (Aortic) Bioprosthesis valve use

Zooplastic Tissue in Heart and Great Vessels

A Abdominal aortic plexus use Abdominal

Sympathetic nerveAbdominal esophagus use esophagus, LowerAbdominohysterectomy

see Resection, Uterus 0UT9see Resection, Cervix 0UTC

Abdominoplasty see Alteration, Abdominal Wall 0W0Fsee Repair, Abdominal Wall 0WQFsee Supplement, Abdominal Wall 0WUF

Abductor hallucis muscle use Foot Muscle, Rightuse Foot Muscle, Left

AbioCor(R) Total Replacement Heart use Synthetic Substitute

Ablation see DestructionAbortion

Products of Conception 10A0Abortifacient 10A07ZxLaminaria 10A07ZWVacuum 10A07Z6

Abrasion see extractionAbsolute Pro Vascular (OTW) Self-

expanding Stent System use Intraluminal Device

Accessory cephalic vein use Cephalic Vein, Rightuse Cephalic Vein, Left

Accessory obturator nerve use Lumbar Plexus

Accessory phrenic nerve use Phrenic nerveAccessory spleen use SpleenAcculink (Rx) Carotid Stent System use

Intraluminal DeviceAcellular Hydrated Dermis use

nonautologous Tissue SubstituteAcetabular cup use Liner in Lower JointsAcetabulectomy

see excision, Lower Bones 0QBsee Resection, Lower Bones 0QT

Acetabulofemoral joint use Hip Joint, Rightuse Hip Joint, Left

Acetabuloplasty see Repair, Lower Bones 0QQsee Replacement, Lower Bones 0QRsee Supplement, Lower Bones 0QU

Achilles tendon use Lower Leg Tendon, Rightuse Lower Leg Tendon, Left

Achillorrhaphy see Repair, Tendons 0LQAchillotenotomy, achillotomy

see Division, Tendons 0L8see Drainage, Tendons 0L9

Acromioclavicular ligament use Shoulder Bursa and Ligament, Rightuse Shoulder Bursa and Ligament, Left

Acromion (process) use Scapula, Rightuse Scapula, Left

Acromionectomy see excision, Upper Joints 0RBsee Resection, Upper Joints 0RT

Acromioplasty see Repair, Upper Joints 0RQsee Replacement, Upper Joints 0RRsee Supplement, Upper Joints 0RU

Activa PC neurostimulator use Stimulator Generator, Multiple Array in 0JH

Activa RC neurostimulator use Stimulator Generator, Multiple Array Rechargeable in 0JH

Activa SC neurostimulator use Stimulator Generator, Single Array in 0JH

Activities of Daily Living Assessment F02Activities of Daily Living Treatment F08ACUITY(tm) Steerable Lead

use Cardiac Lead, Pacemaker in 02Huse Cardiac Lead, Defibrillator in 02H

Acupuncture Breast

Anesthesia 8e0H300no Qualifier 8e0H30Z

Integumentary System Anesthesia 8e0H300no Qualifier 8e0H30Z

Adductor brevis muscle use Upper Leg Muscle, Rightuse Upper Leg Muscle, Left

Adductor hallucis muscle use Foot Muscle, Rightuse Foot Muscle, Left

Adductor longus muscle use Upper Leg Muscle, Rightuse Upper Leg Muscle, Left

Adductor magnus muscle use Upper Leg Muscle, Rightuse Upper Leg Muscle, Left

Adenohypophysis use Pituitary GlandAdenoidectomy

see excision, Adenoids 0CBQsee Resection, Adenoids 0CTQ

Adenoidotomy see Drainage, Adenoids 0C9QAdhesiolysis see ReleaseAdministration

Blood products see TransfusionOther substance see Introduction of

substance in or onAdrenalectomy

see excision, endocrine System 0GBsee Resection, endocrine System 0GT

Adrenalorrhaphy see Repair, endocrine System 0GQ

Adrenalotomy see Drainage, endocrine System 0G9

Advancement see Repositionsee Transfer

Advisa (MRI) use Pacemaker, Dual Chamber in 0JH

AIGISRx Antibacterial envelope use Anti-Infective envelope

Alar ligament of axis use Head and neck Bursa and Ligament

Alimentation see Introduction of substance in or on

Alteration Abdominal Wall 0W0FAnkle Region

Left 0Y0LRight 0Y0K

Arm Lower

Left 0x0FRight 0x0D

Upper Left 0x09Right 0x08

Axilla Left 0x05Right 0x04

Back Lower 0W0LUpper 0W0K

Breast Bilateral 0H0VLeft 0H0URight 0H0T

Buttock Left 0Y01Right 0Y00

Chest Wall 0W08ear

Bilateral 0902Left 0901Right 0900

elbow Region Left 0x0CRight 0x0B

extremity Lower

Left 0Y0BRight 0Y09

Upper Left 0x07Right 0x06

eyelid Lower

Left 080RRight 080Q

Upper Left 080PRight 080n

Face 0W02Head 0W00Jaw

Lower 0W05Upper 0W04

Knee Region Left 0Y0GRight 0Y0F

Leg Lower

Left 0Y0JRight 0Y0H

Upper Left 0Y0DRight 0Y0C

Lip Lower 0C01xUpper 0C00x

neck 0W06nose 090KPerineum

Female 0W0nMale 0W0M

Shoulder Region Left 0x03Right 0x02

Subcutaneous Tissue and Fascia Abdomen 0J08Back 0J07Buttock 0J09Chest 0J06Face 0J01Lower Arm

Left 0J0HRight 0J0G

Lower Leg Left 0J0PRight 0J0n

neck Anterior 0J04Posterior 0J05

Upper Arm Left 0J0FRight 0J0D

Upper Leg Left 0J0MRight 0J0L

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208

012-01501

2-01

5Pe

riPh

era

l N

erv

ou

s sy

stem

012

-01X

ICD-10-PCS 2017

Peripheral Nervous system 012-01X

Limited Coverage Noncovered HAC associated procedure Combination Cluster Non-OR-Affecting MS-DRG Assignment

Non-OR-Not affecting MS-DRG Assignment Revised Text in orange Male Female

Peripheral Nervous system 012-01X0 medical and surgical1 Peripheral Nervous system2 Change: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or

puncturing the skin or a mucous membrane

Body PartCharacter 4

approachCharacter 5

DeviceCharacter 6

QualifierCharacter 7

y Peripheral Nerve   X External 0 Drainage Devicey Other Device

Z No Qualifier

012YX[0,Y]Z 0 medical and surgical1 Peripheral Nervous system5 Destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

Body PartCharacter 4

approachCharacter 5

DeviceCharacter 6

QualifierCharacter 7

0 Cervical Plexus  1 Cervical Nerve  2 Phrenic Nerve  3 Brachial Plexus  4 Ulnar Nerve  5 Median Nerve  6 Radial Nerve  8 Thoracic Nerve  9 Lumbar Plexus  a Lumbosacral Plexus  B Lumbar Nerve  C Pudendal Nerve  D Femoral Nerve  F Sciatic Nerve  G Tibial Nerve  h Peroneal Nerve  K Head and Neck Sympathetic Nerve l Thoracic Sympathetic Nerve m Abdominal Sympathetic Nerve N Lumbar Sympathetic Nerve P Sacral Sympathetic Nerve Q Sacral Plexus  r Sacral Nerve  

0 Open3 Percutaneous4 Percutaneous Endoscopic

Z No Device Z No Qualifier

015[0,2,3,4,5,6,9,A,C,D,F,G,H,Q][0,3,4]ZZ 015[1,8,B,R]3ZZ 

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215

Hea

rt an

d G

reat Vessels 021-02Y

ICD-10-PCS 2017

Limited Coverage Noncovered HAC associated procedure Combination Cluster Non-OR-Affecting MS-DRG Assignment

Non-OR-Not affecting MS-DRG Assignment Revised Text in Orange Male Female

021Heart and Great Vessels 021-02Y0 Medical and surgical2 Heart and Great Vessels1 Bypass: Altering the route of passage of the contents of a tubular body part

Body PartCharacter 4

approachCharacter 5

deviceCharacter 6

QualifierCharacter 7

0 Coronary Artery, One Site   1 Coronary Artery, Two Sites   2 Coronary Artery, Three Sites   3 Coronary Artery, Four or More

Sites   

0 Open 9 Autologous Venous Tissuea Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue

Substitute

3 Coronary Artery8 Internal Mammary, Right9 Internal Mammary, LeftC Thoracic ArteryF Abdominal ArteryW Aorta

0 Coronary Artery, One Site   1 Coronary Artery, Two Sites   2 Coronary Artery, Three Sites   3 Coronary Artery, Four or More

Sites   

0 Open Z No Device 3 Coronary Artery8 Internal Mammary, Right9 Internal Mammary, LeftC Thoracic ArteryF Abdominal Artery

0 Coronary Artery, One Site  1 Coronary Artery, Two Sites  2 Coronary Artery, Three Sites  3 Coronary Artery, Four or More

Sites  

3 Percutaneous 4 Intraluminal Device, Drug-eluting

d Intraluminal Device

4 Coronary Vein

0 Coronary Artery, One Site  1 Coronary Artery, Two Sites  2 Coronary Artery, Three Sites  3 Coronary Artery, Four or More

Sites  

4 Percutaneous Endoscopic 4 Intraluminal Device, Drug-eluting

d Intraluminal Device

4 Coronary Vein

0 Coronary Artery, One Site 1 Coronary Artery, Two Sites 2 Coronary Artery, Three Sites 3 Coronary Artery, Four or More

Sites  

4 Percutaneous Endoscopic 9 Autologous Venous Tissuea Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue Substitute

3 Coronary Artery8 Internal Mammary, Right9 Internal Mammary, LeftC Thoracic ArteryF Abdominal ArteryW Aorta

0 Coronary Artery, One Site  1 Coronary Artery, Two Sites  2 Coronary Artery, Three Sites  3 Coronary Artery, Four or More

Sites  

4 Percutaneous Endoscopic Z No Device 3 Coronary Artery8 Internal Mammary, Right9 Internal Mammary, LeftC Thoracic ArteryF Abdominal Artery

6 Atrium, Right 0 Open4 Percutaneous Endoscopic

9 Autologous Venous Tissuea Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue Substitute

P Pulmonary TrunkQ Pulmonary Artery, Rightr Pulmonary Artery, Left

6 Atrium, Right 0 Open4 Percutaneous Endoscopic

Z No Device 7 Atrium, LeftP Pulmonary TrunkQ Pulmonary Artery, Rightr Pulmonary Artery, Left

7 Atrium, Left  V Superior Vena Cava

0 Open4 Percutaneous Endoscopic

9 Autologous Venous Tissuea Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue

SubstituteZ No Device

P Pulmonary TrunkQ Pulmonary Artery, Rightr Pulmonary Artery, Left

K Ventricle, Right l Ventricle, Left

0 Open4 Percutaneous Endoscopic

9 Autologous Venous Tissuea Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue Substitute

P Pulmonary TrunkQ Pulmonary Artery, Rightr Pulmonary Artery, Left

021 continued on next page

021Heart and Great Vessels 021-02Y

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226

Upp

er A

rter

ies

031-

03W

ICD-10-PCS 2017

Upper Arteries 031-03W

Limited Coverage Noncovered HAC associated procedure Combination Cluster Non-OR-Affecting MS-DRG Assignment

Non-OR-Not affecting MS-DRG Assignment Revised Text in Orange Male Female

031

031

Upper Arteries 031-03W 0 Medical and surgical3 Upper Arteries1 Bypass: Altering the route of passage of the contents of a tubular body part

Body partCharacter 4

ApproachCharacter 5

DeviceCharacter 6

QualifierCharacter 7

2 Innominate Artery 5 Axillary Artery, Right 6 Axillary Artery, Left

0 Open 9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue

SubstituteZ No Device

0 Upper Arm Artery, Right1 Upper Arm Artery, Left2 Upper Arm Artery, Bilateral3 Lower Arm Artery, Right4 Lower Arm Artery, Left5 Lower Arm Artery, Bilateral6 Upper Leg Artery, Right7 Upper Leg Artery, Left8 Upper Leg Artery, Bilateral9 Lower Leg Artery, RightB Lower Leg Artery, LeftC Lower Leg Artery, BilateralD Upper Arm VeinF Lower Arm VeinJ Extracranial Artery, RightK Extracranial Artery, Left

3 Subclavian Artery, Right 4 Subclavian Artery, Left

0 Open 9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue SubstituteZ No Device

0 Upper Arm Artery, Right1 Upper Arm Artery, Left2 Upper Arm Artery, Bilateral3 Lower Arm Artery, Right4 Lower Arm Artery, Left5 Lower Arm Artery, Bilateral6 Upper Leg Artery, Right7 Upper Leg Artery, Left8 Upper Leg Artery, Bilateral9 Lower Leg Artery, RightB Lower Leg Artery, LeftC Lower Leg Artery, BilateralD Upper Arm VeinF Lower Arm VeinJ Extracranial Artery, RightK Extracranial Artery, LeftM Pulmonary Artery, RightN Pulmonary Artery, Left

7 Brachial Artery, Right 0 Open 9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue SubstituteZ No Device

0 Upper Arm Artery, Right3 Lower Arm Artery, RightD Upper Arm VeinF Lower Arm Vein

8 Brachial Artery, Left 0 Open 9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue

SubstituteZ No Device

1 Upper Arm Artery, Left4 Lower Arm Artery, LeftD Upper Arm VeinF Lower Arm Vein

9 Ulnar Artery, Right B Radial Artery, Right  

0 Open 9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue SubstituteZ No Device

3 Lower Arm Artery, RightF Lower Arm Vein

A Ulnar Artery, Left C Radial Artery, Left  

0 Open 9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue SubstituteZ No Device

4 Lower Arm Artery, LeftF Lower Arm Vein

G Intracranial Artery s Temporal Artery, Right  t Temporal Artery, Left  

0 Open 9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue SubstituteZ No Device

G Intracranial Artery

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ICD-10-PCS 2017

Limited Coverage Noncovered HAC associated procedure Combination Cluster Non-OR-Affecting MS-DRG Assignment

Non-OR-Not affecting MS-DRG Assignment Revised Text in Orange Male Female

Upper Veins 051-05W 0 Medical and surgical5 Upper Veins1 Bypass: Altering the route of passage of the contents of a tubular body part

Body partCharacter 4

ApproachCharacter 5

DeviceCharacter 6

QualifierCharacter 7

0 Azygos Vein 1 Hemiazygos Vein 3 Innominate Vein, Right 4 Innominate Vein, Left 5 Subclavian Vein, Right 6 Subclavian Vein, Left 7 Axillary Vein, Right 8 Axillary Vein, Left 9 Brachial Vein, Right A Brachial Vein, Left B Basilic Vein, Right C Basilic Vein, Left D Cephalic Vein, Right F Cephalic Vein, Left G Hand Vein, Right H Hand Vein, Left L Intracranial Vein M Internal Jugular Vein, Right n Internal Jugular Vein, Left p External Jugular Vein, Right Q External Jugular Vein, Left r Vertebral Vein, Right s Vertebral Vein, Left T Face Vein, Right V Face Vein, Left

0 Open4 Percutaneous Endoscopic

7 Autologous Tissue Substitute9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous Tissue

SubstituteZ No Device

Y Upper Vein

 0 Medical and surgical5 Upper Veins5 Destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

Body partCharacter 4

ApproachCharacter 5

DeviceCharacter 6

QualifierCharacter 7

0 Azygos Vein 1 Hemiazygos Vein 3 Innominate Vein, Right 4 Innominate Vein, Left 5 Subclavian Vein, Right 6 Subclavian Vein, Left 7 Axillary Vein, Right 8 Axillary Vein, Left 9 Brachial Vein, Right A Brachial Vein, Left B Basilic Vein, Right C Basilic Vein, Left D Cephalic Vein, Right F Cephalic Vein, Left G Hand Vein, Right H Hand Vein, Left L Intracranial Vein M Internal Jugular Vein, Right n Internal Jugular Vein, Left p External Jugular Vein, Right Q External Jugular Vein, Left r Vertebral Vein, Right s Vertebral Vein, Left T Face Vein, Right V Face Vein, Left Y Upper Vein

0 Open3 Percutaneous4 Percutaneous Endoscopic

Z No Device Z No Qualifier

051-055Upper Veins 051-05W

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ICD-10-PCS 2017 Appendix A: Root Operations Definitions

H Insertion definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body partexplanation: Noneincludes/examples: Insertion of radioactive implant, insertion of central venous catheter

J Inspection definition: Visually and/or manually exploring a body partexplanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or through intervening body layersincludes/examples: Diagnostic arthroscopy, exploratory laparotomy

K Map definition: Locating the route of passage of electrical impulses and/or locating functional areas in a body partexplanation: Applicable only to the cardiac conduction mechanism and the central nervous systemincludes/examples: Cardiac mapping, cortical mapping

L Occlusion definition: Completely closing an orifice or the lumen of a tubular body partexplanation: The orifice can be a natural orifice or an artificially created orificeincludes/examples: Fallopian tube ligation, ligation of inferior vena cava

M Reattachment definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable locationexplanation: Vascular circulation and nervous pathways may or may not be reestablishedincludes/examples: Reattachment of hand, reattachment of avulsed kidney

N Release definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of forceexplanation: Some of the restraining tissue may be taken out but none of the body part is taken outincludes/examples: Adhesiolysis, carpal tunnel release

P Removal definition: Taking out or off a device from a body partexplanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVALincludes/examples: Drainage tube removal, cardiac pacemaker removal

Q Repair definition: Restoring, to the extent possible, a body part to its normal anatomic structure and functionexplanation: Used only when the method to accomplish the repair is not one of the other root operationsincludes/examples: Colostomy takedown, suture of laceration

R Replacement definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body partexplanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedureincludes/examples: Total hip replacement, bone graft, free skin graft

S Reposition definition: Moving to its normal location, or other suitable location, all or a portion of a body partexplanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new locationincludes/examples: Reposition of undescended testicle, fracture reduction

T Resection definition: Cutting out or off, without replacement, all of a body partexplanation: Noneincludes/examples: Total nephrectomy, total lobectomy of lung

V Restriction definition: Partially closing an orifice or the lumen of a tubular body partexplanation: The orifice can be a natural orifice or an artificially created orificeincludes/examples: Esophagogastric fundoplication, cervical cerclage

W Revision definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced deviceexplanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pinincludes/examples: Adjustment of position of pacemaker lead, recementing of hip prosthesis

U Supplement definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body partexplanation: 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 performed to physically reinforce and/or augment the function of the replaced body partincludes/examples: Herniorrhaphy using mesh, free nerve graft, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

X Transfer definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body partexplanation: The body part transferred remains connected to its vascular and nervous supplyincludes/examples: Tendon transfer, skin pedicle flap transfer

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Anatomical term iCd-10-pCS ValueAbdominal aortic plexus Abdominal Sympathetic NerveAbdominal esophagus Esophagus, LowerAbductor hallucis muscle Foot Muscle, Left

Foot Muscle, RightAccessory cephalic vein Cephalic Vein, Left

Cephalic Vein, RightAccessory obturator nerve Lumbar PlexusAccessory phrenic nerve Phrenic NerveAccessory spleen SpleenAcetabulofemoral joint Hip Joint, Left

Hip Joint, RightAchilles tendon Lower Leg Tendon, Left

Lower Leg Tendon, RightAcromioclavicular ligament Shoulder Bursa and Ligament, Left

Shoulder Bursa and Ligament, RightAcromion (process) Scapula, Left

Scapula, RightAdductor brevis muscle Upper Leg Muscle, Left

Upper Leg Muscle, RightAdductor hallucis muscle Foot Muscle, Left

Foot Muscle, RightAdductor longus muscle Upper Leg Muscle, Left

Upper Leg Muscle, RightAdductor magnus muscle Upper Leg Muscle, Left

Upper Leg Muscle, RightAdenohypophysis Pituitary GlandAlar ligament of axis Head and Neck Bursa and LigamentAlveolar process of mandible Mandible, Left

Mandible, RightAlveolar process of maxilla Maxilla, Left

Maxilla, RightAnal orifice AnusAnatomical snuffbox Lower Arm and Wrist Muscle, Left

Lower Arm and Wrist Muscle, RightAngular artery Face ArteryAngular vein Face Vein, Left

Face Vein, RightAnnular ligament Elbow Bursa and Ligament, Left

Elbow Bursa and Ligament, RightAnorectal junction RectumAnsa cervicalis Cervical PlexusAntebrachial fascia Subcutaneous Tissue and Fascia, Left

Lower ArmSubcutaneous Tissue and Fascia, Right Lower Arm

Anterior (pectoral) lymph node

Lymphatic, Left AxillaryLymphatic, Right Axillary

Anterior cerebral artery Intracranial ArteryAnterior cerebral vein Intracranial VeinAnterior choroidal artery Intracranial Artery

Anatomical term iCd-10-pCS ValueAnterior circumflex humeral artery

Axillary Artery, LeftAxillary Artery, Right

Anterior communicating artery

Intracranial Artery

Anterior cruciate ligament (ACL)

Knee Bursa and Ligament, LeftKnee Bursa and Ligament, Right

Anterior crural nerve Femoral NerveAnterior facial vein Face Vein, Left

Face Vein, RightAnterior intercostal artery Internal Mammary Artery, Left

Internal Mammary Artery, RightAnterior interosseous nerve Median NerveAnterior lateral malleolar artery

Anterior Tibial Artery, LeftAnterior Tibial Artery, Right

Anterior lingual gland Minor Salivary GlandAnterior medial malleolar artery

Anterior Tibial Artery, LeftAnterior Tibial Artery, Right

Anterior spinal artery Vertebral Artery, LeftVertebral Artery, Right

Anterior tibial recurrent artery

Anterior Tibial Artery, LeftAnterior Tibial Artery, Right

Anterior ulnar recurrent artery

Ulnar Artery, LeftUlnar Artery, Right

Anterior vagal trunk Vagus NerveAnterior vertebral muscle Neck Muscle, Left

Neck Muscle, RightAntihelix External Ear, Bilateral

External Ear, LeftExternal Ear, Right

Antitragus External Ear, BilateralExternal Ear, LeftExternal Ear, Right

Antrum of Highmore Maxillary Sinus, LeftMaxillary Sinus, Right

Aortic annulus Aortic ValveAortic arch Thoracic AortaAortic intercostal artery Thoracic AortaApical (subclavicular) lymph node

Lymphatic, Left AxillaryLymphatic, Right Axillary

Apneustic center PonsAqueduct of Sylvius Cerebral VentricleAqueous humour Anterior Chamber, Left

Anterior Chamber, RightArachnoid mater, intracranial Cerebral MeningesArachnoid mater, spinal Spinal MeningesArcuate artery Foot Artery, Left

Foot Artery, RightAreola Nipple, Left

Nipple, RightArterial canal (duct) Pulmonary Artery, Left

Appendix B: Body part Key