Section 1
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Traumatic arthritis, right ankle, following fracture, right ankle
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Last updated
6 years ago
Date created
Mar 14, 2020
Cards (120)
Section 1
(50 cards)
Traumatic arthritis, right ankle, following fracture, right ankle
716.17 905.4 E887
Cholecystectomy, open following attempt by laparosccopy
51.22 V64.41
Cicatricial contracture of left hand due to burn
709.2 906.6 E929.4
Post-traumatic, painful arthritis, left hand
716.14
Biopsy performed immediately before a definitive procedure is begun
therapeutic code sequenced first
Flaccid hemiplegia due to old cerebrovascular accident
438.20
Locked -in state (paralytic syndrome) due to old cerebrovascular accident
438.50 344.81
Urethroscopy to control postperative hemorrhage, prostate
60.94
When biopsy is incidental to removal of other tissue during a procedure
both the procedure and the biopsy are coded-more definitive procedure sequenced 1st.
Principal procedure
performed for definitive treatment or one necessary to care for a complication
Sequela of old crush injury to left foot
906.4 E929.9
Influenza with pneumonia
487.0
Residuals of poliomyelitis
138
Laparoscopic cholecystectomy
51.23
Resection of a brain tumor, right frontoparietal area
01.59
cataract due to chalcosis
360.24 366.34
Combination codes can be identified by:
with, due, to, in, associated with
Rheumatoid arthritis with polyneuropathy
714.0 357.1
Cystoscopy with left retrograde ureteral pyelogram
87.74
Open biopsy of nasal sinus
22.12 -- Open biopsy of nasal sinus
Transurethral removal of ureteral calculus
56.0
Use both lists:
Alpha and tabular
Arbovirus meningitis
066.9 3231.2
Biopsy is:
taking tissue from a living person for the purpose of microscopic study
Acute cholecystitis and choledocholithiasis
574.60
Frozen-section examination of open biopsy of left breast mass followed by left radical mastectomy
85.45 -- Unilateral radical mastectomy 85.12 -- Open biopsy of breast
Mononeuritis, median nerve, resulting from previous crush injury to right arm
345.1 906.4 E929.9
Cerebrovascular accident two years ago with residual hemiplegia of the dominant side
438.21
Brain damage following cerebral abscess seven months ago
348.9 326
Contracture of hip following partial hip replacement one year ago
718.45 V43.64
Diabetic Retinitis
250.50 362.01
Bilateral neural deafness resulting from childhood measles ten years ago
389.12 139.8
V64.411
Laparoscopic surgical procedure converted to open procedure
Operative approach is considered:
to be an integral part of a procedure no code assigned except rarely
Exploratory laparotomy with appendectomy
47.09
Exploratory laparotomy with partial resection of small intestine with end-to-end anastomosis
45.62
Biopsy code is not assigned:
when a lesion removed for therapeutic purposes is sent to the laboratory for examination.
Exploratory laparotomy with needle biopsy of pancreas.
54.11 -- Exploratory laparotomy 52.11 -- Closed [aspiration] [needle] [percutaneous] biopsy of pancreas
When conversion from a -scopic to an open approach becomes necessary
only the open procedure is coded
Codes must be used tot he highest number of digits available
True
Never NOS
When there is a more specific code
Needle biopsy during and open procedure is coded:
closed biopsy
A code in brackets in the alpha-index
used only as secondary code for the specific condition
Code____underlying condition
first
Chondrocalcinosis of shoulder region due to calcium pyrophosphate
275.49 712.21
Canceled procedures use___codes
V
closed biopsy
needle, brushm aspiration endoscopy.
open biopsy
by way of incision--incision is implicit in the biopsy code
Laminectomy with excision of herniated lumbar disc
80.51
Arthrotomy of right knee with partial patellectomy
77.86
Section 2
(50 cards)
CAS
00.3 -- Computer assisted surgery [CAS]
Endoscopic insertion of stent in pancreatic duct
52.93 00.45 (Okay, but 00.45 not needed with 52.93)
V71 - always primary diagnosis
Observation and evaluation for suspected conditions not found
Shunt codes can be found in the index under the main terms:
Creation formation shunt
Hereditary epistaxis
448.0
Fracture codes
only for active treatment
Right frontal craniotomy with resection of osteoma of frontal bone
01.6 -- Excision of lesion of skull
Partial laparoscopic cholecystectomy
51.24
Needle biopsy of liver
50.11 -- Closed (percutaneous) [needle] biopsy of liver
Chronic epistaxis, severe, recurrent Anterior and posterior nasal packing
784.7 21.02
Craniotomy (omit code-operative approach) with plastic repair of encephalocele cranioplasty
02.12
Chronic fatigue syndrome
780.71
Removal of acoustic neuroma via Stereotactic Cobalt-60 radio surgery
92.32 Placement of head frame 93.59 Computerized axial tomography of brain 87.03
Revision of ventriculoperitoneal shunt:
must determine which portion of the shunt in involved
Table of drugs and chemicals
E codes for poisoning and adverse effects of therapeutic drugs
V71.5
Observation following alleged rape or seduction
Single vessel percutaneous coronary angioplasty with use of thrombolytic agent and insertion of stent
00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy 99.10 Injection or infusion of thrombolytic agent 36.06 Insertion of non-drug-eluting coronary artery stent(s) 00.45 Insertion of one vascular stent 00.40 Procedure on a single vessel
Dilation and curettage, uterus Cervical biopsies, punch Multiple vulvar biopsies
69.09 -- Other dilation and curettage 67.12 -- Other cervical biopsy Punch biopsy of cervix NOS 71.11 -- Biopsy of vulva
Submucous septectomy, nasal, and nasal septoplasty
21.5
V code exception for aftercare:
Dialysis V56x chemotherapy v48.11 immunotherapy V58.12
Atherectomy of iliac artery with injection of thrombolytic agent and stent insertion
39.50 -- Angioplasty or atherectomy of other non-coronary vessel(s) 99.10 -- Injection or infusion of thrombolytic agent 39.90 -- Insertion of non-drug-eluting peripheral vessel stent(s) 00.40 Procedure on a single vessel 00.45 Insertion of one vascular stent
Revision of peritoneal portion of the ventriculoperitoneal shunt
54.95 -- Incision of peritoneum
00.44 -- Procedure on vessel bifurcation
Is used to identify the presence of a vessel bifurcation. It doesn't describe a specific bifurcation stent. maybe used only once per operative episode regardless of the number of vessel bifurcations.
Number of stents inserted
00.45 -- 00.48 coronary and periphery
v58.6
Long-term (current) drug use
Incomplete procedures: if endoscipic approach is unable to reach site:
code endoscipy only
Incomplete procedures: If cavity or space was entered:
code to exploration of site
Robotic assisted surgery
Code primary surgical procedure Code robotic assistance code
After care listed first
True
V codes as first listed diagnosis
specific aftercare like removal of orthopedic pins sole purpose of special therapy IE radiotherapy, chemotherapy, or dialysis Person not ill, but organ donor, receives prophylactic care, or counseling Birth status of newborn
After care variety
surg for Neoplasms V58.42 injury and trauma V58.43 surg. to spec body systems V58.71-V58.78
Coronary angioplasty is:
inherent in the placement of a coronary stent code angioplasty00.66 or 36.03 stent insertion 39.90 or 00.55
Number of vessels treated with stents
00.40 - 00.43 coronary and periphery
Other immobilization, pressure, and attention to wound
93.59 Assigned for placement of a headframe fro steriotactic radiosurgery
Follow up examination
V67
Tab list for V codes located:
immediately after the final chapter of the main classification in vol.1
Arthrotomy of right knee with excision of right medial meniscus and patellar shaving
80.6 excision of meniscus 77.66 shaving of patella
Transurethral biopsy of bladder
57.33 -- Closed [transurethral] biopsy of bladder
V64
Persons encountering health services for specific procedures not carried out
Esophagoscopy with biopsy of esophagus
42.24
Exploratoy laparotomy Cholecystectomy Incidental appendectomy Intraoperative cholangiogram Common bile duct exploration with dilation of sphincter of Oddi
(omit code-operative approach) 51.22 -- Cholecystectomy 47.19 -- Other incidental appendectomy 87.53 -- Intraoperative cholangiogram 51.81 Dilation of sphincter of Oddi 51.51Exploration of common duct
epixtaxis
784.7Chronic epistaxis, severe, recurrent Anterior and posterior nasal packing 21.02
Reclosure of operative wound of abdominal wall
54.61
V codes
admission examination history observation aftercare problem status
Percutaneous biopsy of prostate
60.11 -- Closed [percutaneous] [needle] biopsy of prostate
Laparoscopic appendectomy
47.01
Fracture subsequent encounters
orthopedic after care code
Severe epistaxis due to hypertension Nasal packing
784.7 401.9 21.01
V code after care is not assigned when:
treatment is directed at a current acute disease or injury
Incomplete procedures:If incision only
code to incision of site
Section 3
(20 cards)