Question

Topic Health Information Management

ICD-10-PCS CODING

Question:

Explain how to ICD-10-PCS code for the prophylactic nailing and cementing of fragile bones

Answer 1

ICD-10-PCS is a process of putting in or on all a portion of a living body part taken from another individual or animal physically take place and/or function of all or a portion of a similar body part.

Closed reduction of the left femur intertrochanteric reverse obliquity fracture was performed with traction, internal rotation, and abduction of the left lower extremity. C-arm fluoroscopic images confirmed alignment following the reduction maneuver. A 2 centimeter (cm) incision was then made just proximal to the greater trochanter. This was followed by placement of a long 34 cm intramedullary nail over a guide wire. After reaming over the guide pin, a 95-nun hip screw was placed into the subchondral bone. The screw was locked in the proximal aspect of the nail and was confirmed to be in good position on the AP and lateral image.

In ICD-9-CM, the Alphabetic Index main term entry is Reduction; subterms, femur (closed), with internal fixation. This entry directs users to code 79.15, Closed reduction of fracture with internal fixation, femur.

In ICD-10-PCS, it is important to note that the objective of the procedure is to reposition the displaced fracture into its normal anatomic location. The ICD-10-PCS index main term entry, Reposition; subterms femur, upper, left direct users to Table 0QS. The complete code is 0QS736Z. The body part characte represents the left upper femur. The approach character is representing percutaneous, as only a minor incision was made to insert the intramedullary nail. The device character indicates the placement of the intramedullary internal fixation device. The ICD-10-PCS code provides information regarding the specific approach, body site—including laterality—and type of internal fixation device used to complete the procedure that is not captured in ICD-9-CM.

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