ICD-10-PCS Medium Complexity Review Questions: Root Operations That Define Other Repairs

1. 0MQ24ZZ Root Operation: Repair, Bursa and Ligament, Shoulder, Left (0MQ2)

Rationale: The glenoid labrum ligament does not have its own distinct body part value in ICD-10-PCS. Utilizing the Alphabetic Index, the body part value assigned is for the Shoulder Bursa and Ligament, Left.

2. 0W3D0ZZ Root Operation: Control bleeding in, Pericardial Cavity (0W3D)

Rationale: The root operation Control is defined as stopping, or attempting to stop, postprocedural or other acute bleeding.

3. 0WQF0ZZ Root Operation: Repair, Abdominal Wall (0WQF)

Rationale: The root operation Repair is coded to restore the abdominal wall to the normal anatomic structure. During the procedure, the hernia was repaired with sutures, which are not considered to be a device.

4. 0JQR0ZZ Root Operation: Repair, Subcutaneous Tissue and Fascia, Foot, Left (0JQR)

Rationale: The approach is considered Open, even though the surgical exposure may have been created by the wound itself.

5. 0W33XZZ Root Operation: Control bleeding in, Oral Cavity and Throat (0W33)

Rationale: The root operation Control is coded because the bleeder is the result of a previous procedure. When cautery is used to stop excessive or abnormal postprocedural bleeding, Control is the appropriate root operation. The tonsillar area is coded to the body part value of 3, Oral cavity and Throat.

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