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Awesome guide about ICD-10-PCS Root operation Excision with examples

ICD-10-PCS is a Standardized system used to code medical procedures performed in healthcare settings. One of the root operations in the ICD-10-PCS system is Excision, which involves cutting out or off, without replacement, all of a body part or a portion of a body part. In this guide, we will discuss the Excision root operation in detail, including its definition, types, and examples.

Definition of Excision:

The Excision root operation involves removing all or a portion of a body part by cutting or separation, without replacement. The Excision root operation is used to remove pathological or diseased tissue, foreign objects, or tumors from the body.

Types of Excision:

There are four types of Excision root operation, which are as follows:

  1. Complete Excision: In this type of Excision, the entire body part is removed, without any residual tissue or remnants left behind. Complete Excision is indicated with the 0JH code table.

Example: A patient with a malignant tumor in their left kidney undergoes a complete Excision of the kidney.

  1. Partial Excision: In this type of Excision, only a portion of the body part is removed, leaving some residual tissue or remnants behind. Partial Excision is indicated with the 0JL code table.

Example: A patient with a benign tumor in their right breast undergoes a partial Excision of the tumor, leaving some residual tissue behind.

  1. Excision with Resection: In this type of Excision, a portion of the body part is removed, along with some surrounding tissue or structures. Excision with Resection is indicated with the 0JP code table.

Example: A patient with a malignant tumor in their colon undergoes an Excision with Resection of the affected portion of the colon, along with some surrounding tissue.

  1. Excision with Detachment: In this type of Excision, a portion of the body part is removed, along with some attachments or connections to other structures. Excision with Detachment is indicated with the 0JM code table.

Example: A patient with a foreign object lodged in their ear canal undergoes an Excision with Detachment of the foreign object and the surrounding tissue.

Examples of Excision Root Operation Codes:

The following are some examples of Excision root operation codes, along with their corresponding code tables:

  1. A patient with a malignant tumor in their left breast undergoes a complete Excision of the breast.

Code: 0JH70ZZ (Excision, Left Breast, Open Approach)

  1. A patient with a benign tumor in their right lung undergoes a partial Excision of the tumor.

Code: 0JL606Z (Excision, Right Upper Lung Lobe, Percutaneous Endoscopic Approach)

  1. A patient with a malignant tumor in their colon undergoes an Excision with Resection of the affected portion of the colon.

Code: 0JP204Z (Excision with Resection, Transverse Colon, Open Approach)

  1. A patient with a foreign object lodged in their ear canal undergoes an Excision with Detachment of the foreign object and the surrounding tissue.

Code: 0JM5XZZ (Excision with Detachment, Left External Ear Canal, Open Approach)

Conclusion:

The Excision root operation is an important procedure used to remove pathological or diseased tissue, foreign objects, or tumors from the body. There are four types of Excision, including Complete Excision, Partial Excision, Excision with Resection, and Excision with Detachment. The correct coding of the Excision root operation is crucial for accurate medical billing and coding, and understanding the different types of Excision is essential for proper coding.