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• Unique, enhanced table design allows coders
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• Unique, graphic page design helps coders
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more confidence in their selection
• Highlighted first 3 digits in index
• Highlighted Body Part & Device terms in index
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ISBN: 978-1-933053-50-9
Channel Publishing’s
2014 Enhanced Generic ICD-10-PCS
Enhanced, Coder-Helpful Features
ENHANCED FEATURES
BENEFITS FOR CODERS
P
P
Unique,
e
Exclusiv
enhanced
Feature
table design
Root operation
e
definition,
Exclusiv
eature
F
example,
and brief explanation
P
P
Helps coders clearly and quickly identify the
components of each PCS code table.
P
P
P
Unique,
graphic
page design
P
P
P
The unique, graphic page design clearly
identifies which PCS code tables are located on
that page and helps coders stay focused on the
particular root operation for that body system.
P
P
P
Body Part, Device, &
Device Aggregation
Keys
P
P
P
The body part, device, and device aggregation
keys are listed in separate appendices following
the Tabular List sections.
Highlighted
first 3 digits
in index
Highlighted
Body Part &
Device terms
e
Exclusiv
Feature
e
Exclusiv
Feature
e
Exclusiv
Feature
All 7 characters
e
clearly
Exclusiv
Feature
identified
Tab-Edge printing
Clearly identifies and defines the root operation,
an example of the root operation type, and a
brief explanation relaying more information
about that root operation.
The first 3 digits of each code in the index are in
boldface type to help coders identify and search
for the correct 3-digit PCS code table.
The body part and device terms in the index
have gray screen bars placed over them to
help coders more easily differentiate between
standard index entries and the body part and
device terms.
All 7 characters of a PCS code are clearly
identified in each PCS code table to help
coders learn and properly select the
appropriate character for each digit.
Chapter-by-chapter, and section-by-section
stair-stepped, tab-edge printing helps coders
locate the correct section quickly.
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Enhanced, Coder-Helpful Features
All these significant, Exclusive Features
and numerous subtle features help coders
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for coders
Channel Publishing, Ltd.
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ICD Code Books
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2014 ENHANCED
GENERIC
ICD-10-PCS
CRAIG D. PUCKETT
2014
2014 Version
Most current Official
version of ICD-10-PCS
by CMS
Complete Official ICD-10-PCS Text, 2014 VERSION
as standardized by
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE AND MEDICAID SERVICES
[2014.PCS-1.V1]
OFFICIAL CODING GUIDELINES – 2014 ICD-10-PCS
A3
The valid values for an axis of classification can be added to as needed.
Example: If a significantly distinct type of device is used in a new procedure, a
Channel
Feature
new device value can
be added
to the system.
IMPORTANT NOTE REGARDING THESE PRINTED GUIDELINES
These guidelines are effective for the 2014 (June 2013 posting) of ICD-10-PCS. A
newer version may become available after this book has been printed. Coders
should periodically check the Centers for Medicare and Medicaid Services (CMS)
web site for the most current version.
G
U
I
D
E
combination of its axis of classification and any preceding values on which
L
it may be dependent.
I
Example: The meaning of a body part value in the Medical and Surgical section is N
always dependent on the body system value. The body part value 0 in the Central E
Nervous body system specifies Brain and the body part value 0 in the Peripheral S
Identification of
Official Coding Guideline version
A4
and instructions where to locate
As with words in their context, the meaning of any single value is a
any newer version
CMS Web Site: www.cms.gov/Medicare/Coding/ICD10
Channel Publishing, Ltd.
2014 ICD-10-PCS Official Guidelines
for Coding and Reporting
The Centers for Medicare and Medicaid Services (CMS) and the National Center
for Health Statistics (NCHS), two departments within the U.S. Federal Government’s Department of Health and Human Services (DHHS) provide the following
guidelines for coding and reporting using the International Classification of
Diseases, 10th Revision, Procedure Classification System (ICD-10-PCS). These
guidelines should be used as a companion document to the official version of the
ICD-10-PCS as published on the CMS website. The ICD-10-PCS is a procedure
classification published by the United States for classifying procedures performed
in hospital inpatient health care settings.
Nervous body system specifies Cervical Plexus.
A5
As the system is expanded to become increasingly detailed, over time more values
will depend on preceding values for their meaning.
*Example: In the Lower Joints body system, the device value 3 in the root
operation Insertion specifies Infusion Device and the device value 3 in the root
operation Replacement specifies Ceramic Synthetic Substitute.
A6
The purpose of the alphabetic index is to locate the appropriate table that contains
all information necessary to construct a procedure code. The PCS Tables should
always be consulted to find the most appropriate valid code.
These guidelines have been approved by the four organizations that make up the
Cooperating Parties for the ICD-10-PCS: the American Hospital Association
Channel
Feature (AHIMA),
(AHA), the American Health Information Management
Association
Tab-Edge printing to
CMS, and NCHS.
easily locate sections
and text description to
These guidelines are a set of rules that have been developed
to accompany
identify each
and complement the official conventions and instructions provided within the
ICD-10-PCS itself. The instructions and conventions of the classification take
precedence over guidelines. These guidelines are based on the coding and
sequencing instructions in the Tables, Index and Definitions of ICD-10-PCS, but
provide additional instruction. Adherence to these guidelines when assigning
ICD-10-PCS procedure codes is required under the Health Insurance Portability
and Accountability Act (HIPAA). The procedure codes have been adopted under
HIPAA for hospital inpatient healthcare settings. A joint effort between the
healthcare provider and the coder is essential to achieve complete and accurate
documentation, code assignment, and reporting of diagnoses and procedures.
These guidelines have been developed to assist both the healthcare provider and
the coder in identifying those procedures that are to be reported. The importance
of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved.
A7
It is not required to consult the index first before proceeding to the tables to
complete the code. A valid code may be chosen directly from the tables.
A8
All seven characters must be specified to be a valid code. If the documentation is
incomplete for coding purposes, the physician should be queried for the necessary
information.
A9
Within a PCS table, valid codes include all combinations of choices in characters 4
through 7 contained in the same row of the table. In the example below, 0JHT3VZ
is a valid code, and 0JHW3VZ is not a valid code.
0 Medical and Surgical
- J Subcutaneous Tissue
1ST-
Table of Contents
2ND
and Fascia
A. Conventions..........................................................................................CG-1
B. Medical and Surgical Section Guidelines..........................................CG-1
2. Body System ....................................................................................CG-1
3. Root Operation ................................................................................CG-2
4. Body Part ..........................................................................................CG-3
5. Approach ..........................................................................................CG-4
6. Device ................................................................................................CG-4
C. Obstetrics Section Guidelines ............................................................CG-4
3RD-
TH
4
Body Part
S
V
© 2013 Channel Publishing, Ltd.
Conventions
W
A1
ICD-10-PCS codes are composed of seven characters. Each character is an axis of
classification that specifies information about the procedure performed. Within a
defined code range, a character specifies the same type of information in that axis
of classification.
Example: The fifth axis of classification specifies the approach in sections 0
through 4 and 7 through 9 of the system.
A2
One of 34 possible values can be assigned to each axis of classification in the
seven-character code: they are the numbers 0 through 9 and the alphabet (except I
and O because they are easily confused with the numbers 1 and 0). The number of
unique values used in an axis of classification differs as needed.
Example: Where the fifth axis of classification specifies the approach, seven
different approach values are currently used to specify the approach.
H INSERTION
T
EXAMPLE: Insertion of central venous catheter
INSERTION: Putting in a nonbiological appliance
that monitors, assists, performs, or prevents a
physiological function but does not physically take
the place of a body part.
EXPLANATION: None
5TH
Approach
6TH
Device
7TH
Qualifier
Subcutaneous Tissue and 0 Open
1 Radioactive Z No
Fascia, Head and Neck
3 Percutaneous
Element
Qualifier
Subcutaneous Tissue and
3 Infusion
Fascia, Upper Extremity
Device
Subcutaneous Tissue and
Fascia, Lower Extremity
1 Radioactive Z No
Subcutaneous Tissue and 0 Open
3 Percutaneous
Element
Qualifier
Fascia, Trunk
3 Infusion
Device
V Infusion
Pump
A10
“And,” when used in a code description, means “and/or.”
Example: Lower Arm and Wrist Muscle means lower arm and/or wrist muscle.
CG-1
[2014.PCS-1.V1]
© 2013 Channel Publishing, Ltd.
A
3f (Aortic) Bioprosthesis valve
use Zooplastic Tissue in Heart and
Great Vessels
Abdominal aortic plexus
use Nerve, Abdominal Sympathetic
Abdominal esophagus
use Esophagus, Lower
Abdominohysterectomy
see Excision, Uterus 0UB9see Resection, Uterus 0UT9Abdominoplasty
see Alteration, Abdominal Wall
0W0Fsee Repair, Abdominal Wall 0WQFsee Supplement, Abdominal Wall
0WUFAbductor hallucis muscle
use Muscle, Foot, Left
use Muscle, Foot, Right
AbioCor® Total Replacement
Heart
use Synthetic Substitute
Ablation see Destruction
Abortion
Products of Conception 10A0Abortifacient 10A07ZX
Laminaria 10A07ZW
Vacuum 10A07Z6
Abrasion see Extraction
Accessory cephalic vein
use Vein, Cephalic, Left
use Vein, Cephalic, Right
Accessory obturator nerve
use Nerve, Lumbar Plexus
Accessory phrenic nerve
use Nerve, Phrenic
Accessory spleen
use Spleen
Acellular Hydrated Dermis
use Nonautologous Tissue Substitute
Acetabulectomy
see Excision, Lower Bones 0QBsee Resection, Lower Bones 0QTAcetabulofemoral joint
use Joint, Hip, Left
use Joint, Hip, Right
Acetabuloplasty
see Repair, Lower Bones 0QQsee Replacement, Lower Bones 0QRsee Supplement, Lower Bones 0QUAchilles tendon
use Tendon, Lower Leg, Left
use Tendon, Lower Leg, Right
Achillorrhaphy see Repair, Tendons
0LQAchillotenotomy, achillotomy
see Division, Tendons 0L8see Drainage, Tendons 0L9Acromioclavicular ligament
use Bursa and Ligament, Shoulder,
Left
use Bursa and Ligament, Shoulder,
Right
Acromion (process)
use Scapula, Left
use Scapula, Right
Acromionectomy
see Excision, Upper Joints 0RBsee Resection, Upper Joints 0RTAcromioplasty
see Repair, Upper Joints 0RQsee Replacement, Upper Joints 0RRsee Supplement, Upper Joints 0RUActiva PC neurostimulator
use Stimulator Generator, Multiple
Array in OJHActiva RC neurostimulator
use Stimulator Generator, Multiple
Array Rechargeable in OJH-
INDEX TO PROCEDURES – 2014 ICD-10-PCS
Angioplasty
Activa SC neurostimulator
Alveoloplasty
Alteration — continued
use Stimulator Generator, Single
Ear
see Repair, Head and Facial Bones
Array in OJHBilateral 09020NQActivities of Daily Living
Left 0901see Replacement, Head and Facial
P
Assessment F02Right 0900Bones 0NRR
Activities of Daily Living
Elbow Region
see Supplement, Head and Facial
O
Treatment F08Left 0X0CBones 0NUC
ACUITY™ Steerable Lead
Right 0X0BAlveolotomy
E
use Cardiac Lead, Defibrillator in 02HExtremity
see Division, Head and Facial Bones D
U
use Cardiac Lead, Pacemaker in 02HLower
0N8Acupuncture
Left 0Y0Bsee Drainage, Head and Facial Bones R
E
Breast
Right 0Y090N9Anesthesia 8E0H300
Upper
Ambulatory cardiac monitoring
I
No Qualifier 8E0H30Z
Left 0X074A12X45
Channel Feature
N
Integumentary System
Right 0X06-Highlighted (shaded boxes)
Amniocentesis see Drainage,
D
Anesthesia 8E0H300
Eyelid
Body Part listings to differentiateProducts of Conception 1090E
No Qualifier 8E0H30Z
Lower
Amnioinfusion
see
Introduction
of
between standard index terms
X
Adductor brevis muscle
Left 080Rsubstance in or on, Products of
use Muscle, Upper Leg, Left
Right 080QConception 3E0Euse Muscle, Upper Leg, Right
Upper
Amnioscopy 10J08ZZ
Adductor hallucis muscle
Left 080PAmniotomy see Drainage, Products of
use Muscle, Foot, Left
Right 080NConception 1090use Muscle, Foot, Right
Face 0W02AMPLATZER® Muscular VSD
Adductor longus muscle
Head 0W00Occluder
use Muscle, Upper Leg, Left
Jaw
use Synthetic Substitute
use Muscle, Upper Leg, Right
Lower 0W05Amputation see Detachment
Adductor magnus muscle
Upper 0W04AMS 800® Urinary Control
use Muscle, Upper Leg, Left
Knee Region
System
use Muscle, Upper Leg, Right
use Artificial Sphincter in Urinary
Left 0Y0GAdenohypophysis
System
Right 0Y0Fuse Gland, Pituitary
Anal orifice
Leg
Adenoidectomy
use Anus
Lower
see Excision, Adenoids 0CBQAnalog radiography see Plain
Left 0Y0JChannel Feature
see Resection, Adenoids 0CTQ-Highlighted (shaded
Radiography
Right
0Y0Hboxes)
Adenoidotomy see Drainage,
Analog radiology see Plain
Upper
Device Term listings
to differentiate
Adenoids 0C9QRadiography
0Y0Dbetween standard Left
index
terms
Adhesiolysis see Release
Anastomosis see Bypass
Right 0Y0CAdministration
Anatomical snuffbox
Lip
Blood products see Transfusion
use Muscle, Lower Arm and Wrist,
Lower 0C01XOther substance see Introduction of
Left
Upper 0C00Xsubstance in or on
use Muscle, Lower Arm and Wrist,
Neck 0W06Adrenalectomy
Right
Nose 090Ksee Excision, Endocrine System 0GBAneuRx® AAA Advantage®
Perineum
see Resection, Endocrine System 0GTuse Intraluminal Device
Female 0W0NAdrenalorrhaphy see Repair,
Angiectomy
Male 0W0MEndocrine System 0GQsee Excision, Heart and Great Vessels
Shoulder Region
Adrenalotomy see Drainage,
02BLeft 0X03Endocrine System 0G9see Excision, Lower Arteries 04BRight 0X02Advancement
see Excision, Lower Veins 06BSubcutaneous Tissue and Fascia
see Reposition
see Excision, Upper Arteries 03BAbdomen 0J08Back 0J07see Transfer
see Excision, Upper Veins 05BButtock 0J09Alar ligament of axis
Angiocardiography
use Bursa and Ligament, Head and
Chest 0J06Combined right and left heart see
Neck
Face 0J01Fluoroscopy, Heart, Right and
Alimentation see Introduction of
Lower Arm
Left B216substance in or on
Left 0J0HLeft Heart see Fluoroscopy, Heart, Left
Alteration
Right 0J0GB215see Fluoroscopy, Heart,
Abdominal Wall 0W0FLower Leg
Right Heart
Channel
Feature
Right
B214Ankle Region
Left 0J0PHighlighted
first
3 digits
SPY seetoFluoroscopy,
Heart B21Left 0Y0LRight 0J0N(bold typeface)
identify 3-digit
Neck
Angiography
Right 0Y0Ktabular code table
Anterior 0J04see Plain Radiography, Heart B20Arm
Posterior 0J05see Fluoroscopy, Heart B21Lower
Upper Arm
Angioplasty
Left 0X0FLeft 0J0Fsee Dilation, Heart and Great Vessels
Right 0X0DRight 0J0D027Upper
Clear, concise,
Upper Leg
see Dilation, Lower Arteries 047Left 0X09sharply-printed text
Left 0J0Msee Dilation, Upper Arteries 037Right 0X08Right 0J0Lsee Repair, Heart and Great Vessels
Axilla
Wrist Region
02QLeft 0X05Left 0X0Hsee Repair, Lower Arteries 04QRight 0X04Right 0X0Gsee Repair, Upper Arteries 03QBack
Alveolar process of mandible
see Replacement, Heart and Great
Lower 0W0Luse Mandible, Left
Vessels 02RUpper 0W0Kuse Mandible, Right
see Replacement, Lower Arteries 04RBreast
Alveolar process of maxilla
see Replacement, Upper Arteries
Bilateral 0H0Vuse Maxilla, Leftt
03RLeft 0H0Uuse Maxilla, Right
see Supplement, Heart and Great
Right 0H0TAlveolectomy
Vessels 02UButtock
see Excision, Head and Facial Bones 0NBsee Supplement, Lower Arteries 04ULeft 0Y01see Resection, Head and Facial Bones
see Supplement, Upper Arteries 03URight 0Y000NTChest Wall 0W08-
1
0FB
2ND
- 0
- F
3RD
-
1ST
Medical and Surgical
Hepatobiliary System and Pancreas
B EXCISION
EXAMPLE:
Liver biopsy
EXCISION: Cutting out or off, without
replacement, a portion of a body part.
EXPLANATION: Qualifier “X Diagnostic” indicates biopsy ...
Approach – 5TH
Device – 6TH
0
1
2
4
G
Liver
Liver, Right Lobe
Liver, Left Lobe
Gallbladder
Pancreas
0
3
4
Open
Percutaneous
Percutaneous
endoscopic
Z
5
6
8
9
C
D
F
Hepatic Duct, Right
Hepatic Duct, Left
Cystic Duct
Common Bile Duct
Ampulla of Vater
Pancreatic Duct
Unique,
Pancreatic Duct, Accessory
0
3
4
Open
Percutaneous
Percutaneous
endoscopic
Via natural or
artificial opening
Via natural or
artificial opening
endoscopic
Z
EXAMPLE:
2ND
- 0
- F
3RD
-
1ST
Innovative, Enhanced,
Page and Table
Designs
Medical and Surgical
Hepatobiliary System and Pancreas
C EXTIRPATION
Body Part – 4TH
7
8
No device
Qualifier – 7TH
X
Z
Diagnostic
No qualifier
Identifies
Easy-To-Understand
Example
No device
Identifies
X Diagnostic
& DefinesZRoot
No qualifier
Operation
Abbreviated
Explanation to Help
Understanding
Choledocholithotomy
EXTIRPATION: Taking or cutting out solid matter
from a body part.
EXPLANATION: Abnormal byproduct or foreign body ...
Approach – 5TH
Device – 6TH
Qualifier – 7TH
0
1
2
4
G
Liver
Liver, Right Lobe
Liver, Left Lobe
Gallbladder
Pancreas
0
3
4
Open
Percutaneous
Percutaneous
endoscopic
Z
No device
Z
No qualifier
5
6
8
9
C
D
F
Hepatic Duct, Right
Hepatic Duct, Left
Cystic Duct
Common Bile Duct
Ampulla of Vater
Pancreatic Duct
Pancreatic Duct, Accessory
0
3
4
Open
Percutaneous
Percutaneous
endoscopic
Via natural or
artificial opening
Via natural or
artificial opening
endoscopic
Z
No device
Z
No qualifier
7
8
© 2013 Channel Publishing, Ltd.
MED/SURG
Body Part – 4TH
0
F
B
[2014.PCS-1.V1]
MEDICAL AND SURGICAL SECTION – 2014 ICD-10-PCS
246
[2014.PCS-1.V1]
2ND
- 0
- D
3RD
-
1ST
Medical and Surgical
Gastrointestinal System
2 CHANGE
TH
0 Upper Intestinal Tract
D Lower Intestinal Tract
Clear, Compact,
Easy To Read Type
and Layout
U Omentum
V Mesentery
W Peritoneum
3RD
-
Medical and Surgical
Gastrointestinal System
5 DESTRUCTION
Body Part – 4TH
1
2
3
4
5
6
7
8
9
A
B
Esophagus, Upper
C Ileocecal Valve
Esophagus, Middle
E Large Intestine
Esophagus, Lower
F Large Intestine, Right
Esophagogastric Junction G Large Intestine, Left
Esophagus
H Cecum
Stomach
J Appendix
Clearly
Identifies
All 7 Characters
Needed
Stomach, Pylorus
K Ascending
Colon
To Build A Valid
Small Intestine
L Transverse Colon
PCS Code
Duodenum
M Descending Colon
Jejunum
N Sigmoid Colon
Ileum
P Rectum
Q Anus
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.
Approach – 5
Qualifier – 7TH
0 Drainage device
U Feeding device
Y Other device
Z
No qualifier
X
External
0
Y
Z
No qualifier
EXAMPLE:
Drainage device
Other device
Fulguration of polyp
DESTRUCTION: Physical eradication of all or a
portion of a body part by the direct use of energy,
force, or a destructive agent.
EXPLANATION: None of the body part is physically taken out
Approach – 5TH
0
3
4
7
8
0
3
4
X
© 2013 Channel Publishing, Ltd.
Device – 6TH
External
8
Anal Sphincter
Greater Omentum
Lesser Omentum
Mesentery
Peritoneum
ALL Changes use EXTERNAL approach only...
TH
X
7
R
S
T
V
W
Changing a urinary catheter
0
3
4
Device – 6TH
Qualifier – 7TH
Open
Percutaneous
Percutaneous
endoscopic
Via natural or
artificial opening
Via natural or
artificial opening
endoscopic
Z
No device
Z
No qualifier
Open
Percutaneous
Percutaneous
endoscopic
Via natural or
artificial opening
Via natural or
artificial opening
endoscopic
External
Z
No device
Z
No qualifier
Open
Percutaneous
Percutaneous
endoscopic
Z
No device
Z
No qualifier
225
MED/SURG
2ND
- 0
- D
EXAMPLE:
EXPLANATION:
Body Part – 4
1ST
0D5
D –GASTROINTESTINAL SYSTEM
0
D
5
[2014.PCS-1.V1]
2ND
- 0
- S
3RD
-
1ST
0SR
S – LOWER JOINTS
Medical and Surgical
Lower Joints
R REPLACEMENT
Body Part – 4TH
EXAMPLE:
Total hip replacement, free skin graft
REPLACEMENT: Putting in or on a biological
or synthetic material that physically takes the place
and/or function of all or a portion of a body part.
EXPLANATION: Includes taking out body part, or eradication..
Approach – 5TH
Lumbar Vertebral Joint
Lumbar Vertebral Disc
Lumbosacral Joint
Lumbosacral Disc
Sacrococcygeal Joint
Coccygeal Joint
Sacroiliac Joint, Right
Sacroiliac Joint, Left
Tarsal Joint, Right
Tarsal Joint, Left
Metatarsal-Tarsal Joint, Right
Metatarsal-Tarsal Joint, Left
Metatarsal-Phalangeal Joint, Right
Metatarsal-Phalangeal Joint, Left
Toe Phalangeal Joint, Right
Toe Phalangeal Joint, Left
0
Open
9
B
Hip Joint, Right
Hip Joint, Left
0
Open
9
B
Hip Joint, Right
Hip Joint, Left
0
Open
7
J
K
Channel Feature
Clear guideword
identification of table
located on the page
1
Synthetic
Substitute, Metal
2 Synthetic
Substitute, Metal
on Polyethylene
3 Synthetic
Channel Feature
Substitute,
Identification of section
Ceramic
and table in the tab-edge
4 Synthetic
printing
Substitute,
Ceramic on
Polyethylene
J Synthetic
Substitute
7
K
A Hip Joint, Acetabular Surface, Right
E Hip Joint, Acetabular Surface, Left
0
Open
0
1
© 2013 Channel Publishing, Ltd.
3
J
A Hip Joint, Acetabular Surface, Right
E Hip Joint, Acetabular Surface, Left
0
Open
Autologous tissue
substitute
Synthetic
substitute
Nonautologous
tissue substitute
7
K
Qualifier – 7TH
Z
No qualifier
9 Cemented
A Uncemented
Z No qualifier
MED/SURG
0
2
3
4
5
6
7
8
H
J
K
L
M
N
P
Q
Device – 6TH
Autologous tissue
substitute
Nonautologous
tissue substitute
Z
No qualifier
Synthetic
Substitute,
Polyethylene
Synthetic
Substitute, Metal
Synthetic
Substitute,
Ceramic
Synthetic
Substitute
9 Cemented
A Uncemented
Z No qualifier
Autologous tissue
substitute
Nonautologous
tissue substitute
Z
No qualifier
co n t in u e d
Channel Feature
Clearly identifies tables
that continue to the next
pages(s)
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[2014.PCS-1.V1]
Appendix A
APPENDIX A – ROOT OPERATIONS MED/SURG SECTION
APPENDIX A
ROOT OPERATIONS OF THE MEDICAL AND SURGICAL SECTION
APPENDIX A contains the following parts:
PART 1: Groups of Similar Root Operations (Medical and Surgical Section)
PART 2: Alphabetic Listing of Root Operations (Medical and Surgical Section)
PART 1: Groups of Similar Root Operations (Medical and Surgical Section)
The Root Operations of the Medical and Surgical section are divided into logical groups that share similar attributes. Each
root operation chart group includes: root operation name, objective of the procedure, site of the procedure, and an example
of that root operation. These root operation chart groups are:
• Root operations that take out some or all of a body part
• Root operations that take out solids/fluids/gases from a body part
• Root operations involving cutting or separation only
• Root operations that put in/put back or move some/all of a body part
• Root operations that alter the diameter/route of a tubular body part
• Root operations that always involve a device
• Root operations involving examination only
• Root operations that define other repairs
• Root operations that define other objectives
Root operations that take out some or all of a body part
Root Operation
Objective of Procedure
Site of Procedure
Example
Excision
Cutting out/off without replacement
Some of a body part
Breast lumpectomy
Resection
Cutting out/off without replacement
All of a body part
Total mastectomy
Detachment
Cutting out/off without replacement
Extremity only, any level
Amputation above elbow
Destruction
Eradicating without replacement
Some/all of a body part
Fulguration of endometrium
Extraction
Pulling out or off without replacement
Some/all of a body part
Suction D&C
Root operations that take out solids/fluids/gases from a body part
© 2013 Channel Publishing, Ltd.
Root Operation
Objective of Procedure
Site of Procedure
Example
Drainage
Taking/letting out fluids/gases
Within a body part
Incision and drainage
Extirpation
Taking/cutting out solid matter
Within a body part
Thrombectomy
Fragmentation
Breaking solid matter into pieces
Within a body part
Lithotripsy
Root operations involving cutting or separation only
Root Operation
Objective of Procedure
Site of Procedure
Example
Division
Cutting into/separating a body part
Within a body part
Neurotomy
Release
Freeing a body part from constraint
Around a body part
Adhesiolysis
603
APPENDIX A
Bold word(s) within each chart identify the concept that help differentiate it from other root operations within that chart.
[2014.PCS-1.V1]
BODY PART
Abdominal aortic plexus
Abdominal esophagus
Abductor hallucis muscle
Accessory cephalic vein
Accessory obturator nerve
Accessory phrenic nerve
Accessory spleen
Acetabulofemoral joint
Achilles tendon
Acromioclavicular
ligament
Acromion (process)
Adductor brevis muscle
Adductor hallucis muscle
Adductor longus muscle
Adductor magnus muscle
Adenohypophysis
Alar ligament of axis
Alveolar process
© 2013 Channel Publishing, Ltd.
Anterior (pectoral)
lymph node
Anterior cerebral artery
Anterior cerebral vein
Anterior choroidal artery
Anterior circumflex
humeral artery
Anterior communicating
artery
Anterior cruciate
ligament (ACL)
Anterior crural nerve
Anterior facial vein
Anterior intercostal artery
Anterior interosseous
nerve
Anterior lateral malleolar
artery
Anterior lingual gland
Anterior medial
malleolar artery
Anterior spinal artery
Anterior tibial recurrent
artery
Anterior ulnar recurrent
artery
USE:
BODY PART
use Abdominal Sympathetic Nerve
use Esophagus, Lower
use Foot Muscle, Left/Right
use Cephalic Vein, Left/Right
use Lumbar Plexus
use Phrenic Nerve
use Spleen
use Hip Joint, Left/Right
use Lower Leg Tendon, Left/Right
use Shoulder Bursa and Ligament, Left/Right
use Scapula, Left/Right
use Upper Leg Muscle, Left/Right
use Foot Muscle, Left/Right
use Upper Leg Muscle, Left/Right
use Pituitary Gland
use Head and Neck Bursa and Ligament
use Mandible, Left/Right
use Maxilla, Left/Right
use Anus
use Lower Arm and Wrist Muscle, Left/Right
use Face Artery
use Face Vein, Left/Right
use Elbow Bursa and Ligament, Left/Right
use Rectum
use Cervical Plexus
use Subcutaneous Tissue and Fascia,
Lower Arm, Left/Right
use Lymphatic, Axillary, Left/Right
use Intracranial Artery
USE:
Anterior vagal trunk
Anterior vertebral muscle
Antihelix
Antitragus
Antrum of Highmore
Aortic annulus
Aortic arch
Aortic intercostal artery
Apical (subclavicular)
lymph node
Apneustic center
Aqueduct of Sylvius
Aqueous humour
Arachnoid mater
Arcuate artery
Areola
Arterial canal (duct)
Aryepiglottic fold
Arytenoid cartilage
Arytenoid muscle
use Vagus Nerve
Ascending aorta
Ascending palatine artery
Ascending pharyngeal
artery
Atlantoaxial joint
Atrioventricular node
Atrium dextrum cordis
Atrium pulmonale
Auditory tube
Auerbach's (myenteric)
plexus
Auricle
Auricularis muscle
Axillary fascia
use Thoracic Aorta
Axillary nerve
Bartholin's (greater
vestibular) gland
Basal (internal) cerebral
vein
Basal nuclei
Basilar artery
Basis pontis
Biceps brachii muscle
Biceps femoris muscle
Bicipital aponeurosis
use Brachial Plexus
Bicuspid valve
Body of femur
Body of fibula
Bony labyrinth
Bony orbit
Bony vestibule
Botallo's duct
Brachial (lateral) lymph
node
Brachialis muscle
use Mitral Valve
use Intracranial Vein
use Neck Muscle, Left/Right
use External Ear, Bilateral/Left/Right
use Maxillary Sinus, Left/Right
use Aortic Valve
use Thoracic Aorta
use Lymphatic, Axillary, Left/Right
use Pons
use Cerebral Ventricle
use Anterior Chamber, Left/Right
use Cerebral Meninges Spinal Meninges
use Foot Artery, Left/Right
use Nipple, Left/Right
use Pulmonary Artery, Left
use Larynx
use Neck Muscle, Left/Right
use Face Artery
use External Carotid Artery, Left/Right
use Cervical Vertebral Joint
use Conduction Mechanism
use Atrium, Right
use Atrium, Left
use Eustachian Tube, Left/Right
use Abdominal Sympathetic Nerve
use External Ear, Bilateral/Left/Right
use Head Muscle
use Subcutaneous Tissue and Fascia,
Upper Arm, Left/Right
use Intracranial Artery
use Axillary Artery, Left/Right
use Intracranial Artery
use Knee Bursa and Ligament, Left/Right
use Femoral Nerve
use Face Vein, Left/Right
use Internal Mammary Artery, Left/Right
use Median Nerve
use Vestibular Gland
use Intracranial Vein
use Basal Ganglia
use Intracranial Artery
use Pons
use Upper Arm Muscle, Left/Right
use Upper Leg Muscle, Left/Right
use Subcutaneous Tissue and Fascia,
Lower Arm, Left/Right
use Anterior Tibial Artery, Left/Right
use Minor Salivary Gland
use Anterior Tibial Artery, Left/Right
use Vertebral Artery, Left/Right
use Anterior Tibial Artery, Left/Right
use Ulnar Artery, Left/Right
613
use Femoral Shaft, Left/Right
use Fibula, Left/Right
use Inner Ear, Left/Right
use Orbit, Left/Right
use Inner Ear, Left/Right
use Pulmonary Artery, Left
use Lymphatic, Axillary, Left/Right
use Upper Arm Muscle, Left/Right
APPENDIX C
of mandible
Alveolar process
of maxilla
Anal orifice
Anatomical snuffbox
Angular artery
Angular vein
Annular ligament
Anorectal junction
Ansa cervicalis
Antebrachial fascia
Appendix C
APPENDIX C – BODY PART KEY
[2014.PCS-1.V1]
Specific Device
In Body System
For Operation
Autologous Arterial Tissue
All applicable
Autologous Venous Tissue
All applicable
Cardiac Lead, Defibrillator
Cardiac Lead, Pacemaker
Cardiac Resynchronization Defibrillator Pulse Generator
Cardiac Resynchronization Pacemaker Pulse Generator
Contractility Modulation Device
Defibrillator Generator
External Fixation Device, Hybrid
External Fixation Device, Hybrid
External Fixation Device, Limb Lengthening
External Fixation Device, Monoplanar
External Fixation Device, Monoplanar
External Fixation Device, Ring
External Fixation Device, Ring
Hearing Device, Bone Conduction
Hearing Device, Multiple Channel Cochlear Prosthesis
Hearing Device, Single Channel Cochlear Prosthesis
Internal Fixation Device, Intramedullary
Internal Fixation Device, Rigid Plate
Internal Fixation Device, Rigid Plate
Intraluminal Device, Pessary
Intraluminal Device, Airway
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Reposition
Insertion
Insertion
Reposition
Insertion
Reposition
Insertion
Insertion
Insertion
All applicable
Insertion
Reposition
All applicable
All applicable
Intraluminal Device, Bioactive
Intraluminal Device, Drug-eluting
All applicable
All applicable
Intraluminal Device, Endobronchial Valve
Intraluminal Device, Endotracheal Airway
Intraluminal Device, Radioactive
Monitoring Device, Hemodynamic
Monitoring Device, Pressure Sensor
Pacemaker, Dual Chamber
Pacemaker, Single Chamber
Pacemaker, Single Chamber Rate Responsive
Spinal Stabilization Device, Facet Replacement
Spinal Stabilization Device, Interspinous Process
Spinal Stabilization Device, Pedicle-Based
Stimulator Generator, Multiple Array
Stimulator Generator, Multiple Array Rechargeable
Stimulator Generator, Single Array
Stimulator Generator, Single Array Rechargeable
Synthetic Substitute, Ceramic
Synthetic Substitute, Ceramic on Polyethylene
Synthetic Substitute, Intraocular Telescope
Synthetic Substitute, Metal
Synthetic Substitute, Metal on Polyethylene
Synthetic Substitute, Polyethylene
Synthetic Substitute, Reverse Ball and Socket
All applicable
All applicable
All applicable
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Replacement
Replacement
Replacement
Replacement
Replacement
Replacement
Replacement
Heart and Great Vessels
Lower Arteries, Lower Veins
Upper Arteries, Upper Veins
Heart and Great Vessels
Lower Arteries, Lower Veins
Upper Arteries, Upper Veins
Heart and Great Vessels
Heart and Great Vessels
Subcutaneous Tissue and Fascia
Subcutaneous Tissue and Fascia
Subcutaneous Tissue and Fascia
Subcutaneous Tissue and Fascia
Lower Bones, Upper Bones
Lower Bones, Upper Bones
Lower Bones, Upper Bones
Lower Bones, Upper Bones
Lower Bones, Upper Bones
Lower Bones, Upper Bones
Lower Bones, Upper Bones
Ear, Nose, Sinus
Ear, Nose, Sinus
Ear, Nose, Sinus
Lower Bones, Upper Bones
Upper Bones
Upper Bones
Female Reproductive System
Ear, Nose, Sinus
Gastrointestinal System
Mouth and Throat
Upper Arteries
Heart and Great Vessels
Lower Arteries, Upper Arteries
Respiratory System
Respiratory System
Heart and Great Vessels
Subcutaneous Tissue and Fascia
Heart and Great Vessels
Subcutaneous Tissue and Fascia
Subcutaneous Tissue and Fascia
Subcutaneous Tissue and Fascia
Lower Joints, Upper Joints
Lower Joints, Upper Joints
Lower Joints, Upper Joints
Subcutaneous Tissue and Fascia
Subcutaneous Tissue and Fascia
Subcutaneous Tissue and Fascia
Subcutaneous Tissue and Fascia
Lower Joints
Lower Joints
Eye
Lower Joints
Lower Joints
Lower Joints
Upper Joints
631
General Device
7 Autologous Tissue Substitute
7 Autologous Tissue Substitute
M
M
P
P
P
P
5
5
5
5
5
5
5
S
S
S
4
4
4
D
D
Cardiac Lead
Cardiac Lead
Cardiac Rhythm Related Device
Cardiac Rhythm Related Device
Cardiac Rhythm Related Device
Cardiac Rhythm Related Device
External Fixation Device
External Fixation Device
External Fixation Device
External Fixation Device
External Fixation Device
External Fixation Device
External Fixation Device
Hearing Device
Hearing Device
Hearing Device
Internal Fixation Device
Internal Fixation Device
Internal Fixation Device
Intraluminal Device
Intraluminal Device
D Intraluminal Device
D Intraluminal Device
D
D
D
2
2
P
P
P
4
4
4
M
M
M
M
J
J
J
J
J
J
J
Intraluminal Device
Intraluminal Device
Intraluminal Device
Monitoring Device
Monitoring Device
Cardiac Rhythm Related Device
Cardiac Rhythm Related Device
Cardiac Rhythm Related Device
Internal Fixation Device
Internal Fixation Device
Internal Fixation Device
Stimulator Generator
Stimulator Generator
Stimulator Generator
Stimulator Generator
Synthetic Substitute
Synthetic Substitute
Synthetic Substitute
Synthetic Substitute
Synthetic Substitute
Synthetic Substitute
Synthetic Substitute
APPENDIX E
© 2013 Channel Publishing, Ltd.
Appendix E
APPENDIX E – DEVICE AGGREGATION TABLE