1.  0JHQ0NZ Root Operation: Insertion of device in, Subcutaneous Tissue and Fascia, Foot, Right (0JHQ)

Rationale: Tissue expander is placed via open incision into the right lower leg in order to prepare for future procedures.

2.  0YU60JZ Root Operation: Supplement, Inguinal Region, Left (0YU6)

Rationale: Repair of left inguinal hernia with mesh in order to provide additional support is coded with the root operation Supplement.

3.  0W29X0Z Root Operation: Change device in, Pleural Cavity, Right (0W29X)

Rationale: A chest tube is a flexible plastic tube that is inserted through the side of the chest into the pleural space. The body part would be the pleural cavity, which is part of the Anatomical 

Regions, General (0W2).

4.  08R93KZ Root Operation: Replacement, Cornea, Left (08R9)

08R83KZ Root Operation: Replacement, Cornea, Right (08R8)

Rationale: Keratoplasty, see Repair, Eye; see Replacement, Eye; see Supplement, Eye. In this case, Replacement meets the intent of the procedure. There is not a body part value for bilateral cornea, so therefore the right and left cornea are coded separately. The device is Nonautologous Tissue Substitute (K) because the tissue came from a donor.

5.  

02PA3MZ Root Operation: Removal of device from, Heart (02PA)

02PA3MZ Root Operation: Removal of device from, Heart (02PA)

02H63JZ Root Operation: Insertion of device in Atrium, Right (02H6) 

02HK3JZ Root Operation: Insertion of device in Ventricle, Right (02HK)

Rationale: Based on the ICD-10-PCS definitions, this procedure is not a Replacement. This procedure is coded to the root operation Removal to remove the old leads and the root operation Insertion to insert the new leads. Based on Coding Guideline B3.2b, two codes are required for the removal of the leads because the same root operation is repeated on different body sites (atrium and ventricle) that are included in the same body part value (heart). The insertion also requires two codes because the right atrium and right ventricle are identified with individual body part values.

6.  02U50JZ Root Operation: Supplement, Septum, Atrial (02U5)

Rationale: Since the septal defect is repaired with mesh, the root operation is Supplement.

7.  

0JH606Z Root Operation: Insertion of device in, Subcutaneous Tissue and Fascia, Chest (0JH6) 

02H63JZ Root Operation: Insertion of device in, Atrium, Right (02H6)

02HK3JZ Root Operation: Insertion of device in, Ventricle, Right (02HK)

Rationale: The root operation Insertion is used to code all three procedures. Three codes are required since three different devices were inserted: the generator, the right ventricular lead, and the right atrial lead.

8.  02RF08Z Root Operation: Replacement, Valve, Aortic (02RF)

Rationale: The device used is Zooplastic Tissue (8) because a porcine valve is from a pig heart.

9.  02WA3MZ Root Operation: Revision of device in, Heart (02WA)

Rationale: Pacemaker lead needed adjustment of position. Body part of heart (A) is used because the table does not get specific enough to identify the right atrium.

10. 0TP98DZ Root Operation: Removal of device from, Ureter (0TP9)

Rationale: Cystoscopy was utilized to remove the stent in the right ureter which impacts the approach.