Health Information Management

ICD-10 root operations: Reposition

ICD-10 Trainer, May 4, 2012

A surgeon performs an open reduction of right tibia fracture for an inpatient. Which ICD-10-PCS root operation should be reported?

In this case, it’s fairly easy: reposition. In a reposition procedure, the physician moves a body part to a new location, either its normal location or a new location to enhance its ability to function. Since the physician is putting the bone back where it belongs, we would code a reposition. For our right tibia open reduction, we would report code 0QSG0ZZ.
  • 0DS64ZZ, laparoscopy with gastropexy for malrotation
  • 0MSP4ZZ, left knee arthroscopy with reposition of anterior cruciate ligament
  • 01S40ZZ, open transposition of ulnar nerve
  • 0QS634Z, closed reduction with percutaneous internal fixation of right femoral neck fracture
Most of these codes denote laterality, the exception in this list being the ulnar nerve transposition. So make sure the physician documents which side he or she operated on. Also, be sure to read the entire operative report, not just the summary. Sometimes a physician may title a procedure as an open reduction, when in fact, the physician performed a closed reduction.

Read more on the ICD-10 Trainer blog.

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