Multiple root operations with distinct objects are performed on the_____?
Same Body part
If an autograft is obtained from a different body part in order to complete the objective of the procedure, a separate procedure is coded
True
What procedure is coded if the objective of the procedure goes beyond inserting the device?
That procedure must be coded instead of Insertion
All Change procedures are coded to what approach?
External
What root operation represents only those procedures where a similar device is exchanged without making a new incision or puncture?
Change
Inspection of a body part(s) performed in order to achieve the objective of a procedure is not coded separately
True
If multiple tubular body parts are inspected:
the most distal body part inspected is coded
If multiple non-tubular body parts in a region are inspected:
the body part that specifies the entire area inspected is coded
When both an Inspection procedure and another procedure are performed on the same body part during the same episode, if the Inspection procedure is performed using a different approach than the other procedure, the Inspection procedure should be coded:
seperately
Inspection of a body part(s) performed in order to achieve the objective of a procedure is:
not coded seperately
Mapping is only applicable to the cardiac conduction mechanism and the central nervous system:
True
Mapping procedures include only:
Cardiac mapping and Cortical mapping
In the root operation Control, the site of the bleeding is coded as an anatomical region and not to a specific body part
True
If an attempt to stop postprocedural or other acute bleeding is initially unsuccessful, and to stop the bleeding requires performing any of the definitive root operations Bypass, Detachment, Excision, Extraction, Reposition, Replacement, or Resection, the
that root operation is coded instead of control
What root operation functions as the "not elsewhere classified (NEC)" root operation, to be used when the procedure performed does not meet the definition of one of the other root operations?
Repair
If multiple vertebral joints are fused, a seperate procedure is coded for each vertebral joint that uses a different device and/or qualifier
True
If an Interbody fusion device is used together with a bone graft device, the procedure is coded with device value Interbody Fusion Device, the bone graft is not coded seperately
True
If a mixture of autologous and nonautologous bone graft is used to render the joint immobile, code the procedure with the device value:
Autologous Tissue Substitute
If bone graft is the only device used to render the joint immobile, the procedure is coded with the device value Nonautologous Tissue Substitute or Autologous Tissue Substitute
True
If a separate procedure is performed to harvest autograft tissue, it is coded to the:
appropriate root operation in addition to the primary procedure
Procedural steps necessary to reach the operative site and close the operative site , including anastomosis of a tubular body part, are also not coded separately
True
Example: Resection of a joint as part of a joint replacement procedure is included in the root operation definition of Replacement and is not coded separately
If the intended root operation is attempted using one approach, but is converted to a different approach:
Multiple codes are required.
Example: Laparoscopic cholecystectomy converted to an open cholecystectomy is coded as:
percutaneous endoscopic Inspection and open Resection.
If the intended procedure is discontinued (before any Root Operations are performed):
code to the procedure to the root operation performed
If a procedure is discontinued before any other root operation is performed:
code the root operation Inspection of the body part or anatomical region inspected
The qualifier Diagnostic is only used for:
biopsies
If a diagnostic Excision, Extraction, or Drainage procedure (biopsy) is followed by a more definitive procedure, such as Destruction, Excision, or Resection at the same procedure site:
both the biopsy and the more definitive treatment are coded
If the root operations Excision, Repair or Inspection are performed on overlapping layers of the musculoskeletal system:
the body part specifying the deepest layer is coded
If a procedure is performed on a portion of a body part that does not have a separate body part value:
code the body part value corresponding to the whole body part
If the prefix "peri" is combined with a body part to identify the site of the procedure, and the site of the procedure is not further specified:
the procedure is coded to the body part named
Where a specific branch of a body part does not have its own body part value in PCS, the body part is typically coded to the:
closest proximal branch that has a specific body part value
In the cardiovascular body systems, if a general body part is available in the correct root operation table, and coding a proximal branch would require assigning a code in a different body system:
the procedure is coded using the general body part value
If no bilateral body part value exists, each procedure is coded separately using the appropriate body part value:
True
Procedures performed on tendons, ligaments, bursae and fascia supporting a joint are coded to the:
body part in the respective body system that is the focus of the procedure
Procedures performed on joint structures themselves are coded to the:
body part in the joint body systems
Materials such as sutures, ligatures, radiological markers and temporary post-operative wound drains are considered integral to the performance of a procedure and are not coded as devices
True
Procedures performed on a device only and not on a body part are specified in the root operations Change, Irrigation, Removal and Revision, and are coded to the procedure performed
True
A separate procedure to put in a drainage device is coded to the root operation Drainage with the device value Drainage Device
True