Answer key chapter 1
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Chapter 1 2013 Updates All dates that indicate an October 1, 2013 implementation date should be changed to state October 1, 2014. Test Your Knowledge
3. D 5. A
1. 1.1 This is a resection, as the complete body part, the gall bladder is removed. The definition for the root operation removal involves taking out a device from a body part. 1.2 Resection, gallbladder 1.3 0FT
1.4 4—gallbladder 1.5 4—percutaneous endoscopic 1.6 Z and Z for No Device and No Qualifier 1.7 0FT44ZZ
3.
3.1 The main term orchiopexy has two cross references: see Repair, Male Reproductive System and see Reposition Male Reproductive System 3.2 Because the objective of the procedure is to place the undescended testicles into their proper spot, the correct root operation, Reposition—moving to its normal location, or other suitable location, all or a portion of a body part, is selected 3.3 Reposition, Male Reproductive System 3.4 0VS
3.5 C for bilateral as the clinical documentation states testicles 3.6 0 for Open 3.7 Z and Z for No Device and No Qualifier 3.8 0VSC0ZZ
Chapter 2 2013 Updates Coding Guideline A5 on page 31 updated. The last sentence now reads “Example: In the Lower Joints body system, the device value 3 in the root operation Insertion specifies Infusion Device and the device value 3 in the root operation Replacement specifies Ceramic Synthetic Substitute.” Coding Guideline B3.1b on page 35 updated. The Guideline now reads: “Components of a procedure specified in the root operation definition and explanation are not coded separately. 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.” Also, in this Guideline there is a sentence added to the Example that reads: “In a resection of sigmoid colon with anastomosis of descending colon to rectum, the anastomosis is not coded separately.” New Coding Guideline B4.8 to be added on page 46 B4.8 In the Gastrointestinal body system, the general body part values Upper Intestinal Tract and Lower Intestinal Tract are provided as an option for the root operations Change, Inspection, Removal and Revision. Upper Intestinal Tract includes the portion of the gastrointestinal tract from the esophagus down to and including the duodenum, and Lower Intestinal Tract includes the portion of the gastrointestinal tract from the jejunum down to and including the rectum and anus. Example: In the root operation Change table, change of a device in the jejunum is coded using the body part Lower Intestinal Tract. Substitute the following Approach Decision Tree for Figure 2.5 on page 46 
© Kuehn Consulting, LLC. Used with permission. Answer Key Check Your Understanding 1. c (B5.3a) 3. c (B3.4) 5. c (A9) 7. b (B3.10c) 9. c (B2.1b)
b. 2 the laparoscopic cholecystectomy and the liver biopsy c. 0FT44ZZ, 0FB04ZX
Case 3
b. 0CBV8ZZ, 0CBT8ZZ Rationale: See the Index main term Excision, subterms Vocal Cord, Left, Vocal Cord, Right
c.
B3.11a—Inspection of a body part(s) performed in order to achieve the objective of a procedure is not coded separately. Chapter 3 2013 Updates There are no 2013 updates for Chapter 3 1. b 3. c
5. b 7. d
Which Root Operation Is It?
ICD-10-PCS Code: 0FT20ZZ
3. Root Operation: Extirpation ICD-10-PCS Code: 0TC43ZZ
5. Root Operation: Extraction ICD-10-PCS Code: 07DR3ZX
7. Root Operation: Destruction ICD-10-PCS Code: 015C3ZZ
9. Root Operation: Fragmentation ICD-10-PCS Code: 0TF78ZZ
Chapter 4 2013 Updates There are no 2013 updates for Chapter 4 Check Your Understanding
3. a 5. c
7. c 9. d
ICD-10-PCS Code: 0DN34ZZ
3. Root Operation: Reposition ICD-10-PCS Code: 0MSN4ZZ
5. Root Operation: Transfer ICD-10-PCS Code: 01X50Z4 The Anterior Interosseous nerve is not listed under the main term Transfer, Nerve. See the Body Part Index and/or the Index under the Anterior Interosseous Nerve, use Nerve, Median.
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