Question

Questions

1. What is the best way to dissect this operative report in terms of ICD-10-PCS?
2. What is the root operation(s)?
3. How many root operations are in this operative report?
4. What is the approach?
5. What is the device code?
6. What is the qualifier code?
7. What are the ICD-10-PCS code(s) associated with this question?

2.Operative Report PREOPERATIVE DIAGNOSIS: Diabetic foot infection, gangrenous right third toe Diabetic foot infection, gangrenous right third toe POSTOPERATIVE DIAGNOSIS: Right third toe amputation PROCEDURE: HISTORY: This 83-year-old white female patient with diabetes was admitted with gangrenous discoloration and purulent drainage from the right third toe. PROCEDURE DESCRIPTION: The patient was taken to the operating room, monitored and sedated per anesthesia. 35 cc of 0.25% Marcaine plain was infiltrated into the skin and subcutaneous tissues over the forefoot and ankle, and at the base of third toe for a regional block anesthesia. The foot was prepped and draped in a sterile fashion An elliptical incision at the base of the toe was then made with a scalpel. The incision was extended through the subcutaneous tissue. The anterior and posterior tendons were divided. The joint was disarticulated. The toe was completely removed and sent as a surgical specimen. The wound was irrigated with copious amounts of saline. The subcutaneous tissue and tendinous tissue was then approximated over the bone using interrupted sutures of 2-0 Vicryl and the skin was closed with interrupted mattress sutures of 3-0 Prolene. A sterile dressing was applied The patient tolerated the procedure well ESTIMATED BLOOD LOSS: 5 cc

Answer 1

The best way to dissect the operative report in terms of ICD-10pcs by documentation of complete details about the surgery, that includes preoperative and postoperative diagnosis and condition of the patient after surgery. Diabetic foot infection gangrenous right third toe. patient tolerates the procedure well and there is 5cc blood loss.
   Root operations for this procedure: the Toe was completely removed.
It has the first character -surgical
second character -lower extremity
third character- right third toe
Fifth character -subcutaneous tissue(open)
Seventh character -surgical specimen
An approach is an open approach(o)
Device code is no device(Z)
Qualifier code is biopsy procedure as a seventh character (0)
ICD-10-pcs codes
0-surgical
Y- lower extremity
6-complete removal
T- right third toe
0 -an open approach
Z-no device
0-complete