Question

was unable to complete the endoscopic procedure that was started. They converted to an open t nique, and a successful lobectomy was performed. The patient tolerated the procedure well 6. Removal of adenoids with electrocautery 7. Frenulotomy performed on a 4-year-old boy with ankyloglossia and speech difficulties 8. Endoscopic stenting of trachea and right main bronchus for palliative treatment of bronchal carcinoma 9. Bronchial thermoplasty of left lower lobe bronchus for severe, persistent asthma 10. Repair, cleft of hard palate, open approach

List Root operation and ICD-10-PCS Code

Answer 1

Root operation of ICD -10-PCS code

6. Removal of adenoids with electrocautery

Root operation - Destruction - 5

Reason: The root operation destruction is coded because the small portion of adenoids is destructed by cautery. For the methods of ablation, cryotherapy, cautery, destruction, root operation destruction is used.

7.  Frenulotomy performed on a 4-year-old boy with ankyloglossia and speech difficulties.

Root operation - Release- N

Reason: Frenulotomy is a surgical procedure done in ankyloglossia where the lingual frenulum is released. So the root operation release is coded.

8. Endoscopic stenting of the trachea and right main bronchus.

Root operation - Dilation-7

Reason: Dilation is the enlargement of the trachea using the mechanical device.

9. Bronchial thermoplasty of left lower lobe bronchus.

Root operation - Destruction - 5

Reason: For the thermoplasty procedure the root operation destruction is coded. Destruction is used when there is a small portion of the body part is destructed by use of any of the devices.

10. Repair of the cleft of the hard palate.

Root operation - Repair.

Reason: Repair is the root operation used in the surgical correction procedure.