Health Information Management

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

HIM-HIPAA Insider, May 5, 2014

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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.



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