Health Information Management

Put in some support with ICD-10-PCS root operation Supplement

HIM-HIPAA Insider, May 5, 2014

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

Some body parts just need a little reinforcement. Or maybe a little augmentation. Use root operation Supplement (third character U) to report procedures that involve putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.

That’s a long-winded definition. What does it really mean? Well, think about a patient with a hernia. Sometimes, the surgeon needs to shore up the abdominal wall with some mesh. Report a herniorrhaphy using mesh with root operation Supplement (0WU).
The exact code will depend on the approach (open or percutaneous endoscopic) and the device (type of material used). The available device characters are:
  • 7, autologous tissue substitute
  • J, synthetic substitute
  • K, nonautologous tissue substitute
Supplement always includes a device. You’ll find different device options in different body systems. For example, the heart and great vessels also includes an option for zooplastic tissue (8) in addition to the three choices above.
Supplement includes a wide range of procedures, from hernia repairs using mesh reinforcement to grafts such as nerve grafts that supplement but do not physically take the place of the existing body part.
Other Supplement procedures include:
  • 02UF0JZ, aortic valve annuloplasty using ring, open
  • 0SUS09Z, exchange of liner in femoral component of previous left hip replacement, open approach (Taking out the old liner is coded separately to the root operation Removal)
  • 0UUG0JZ, anterior colporrhaphy with polypropylene mesh reinforcement, open approach


This article originally appeared on HCPro’s ICD-10 Trainer blog.

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular