Health Information Management

At least one procedure keeps its name

HIM-HIPAA Insider, July 21, 2014

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It turns out that not all eponyms are going away in ICD-10-PCS. The Alphabetic Index still includes an entry for a Roux-en-Y operation.

The entry directs you to see bypass of the gastrointestinal system or bypass of the hepatobilliary system and pancreas.
Roux-en-Y is a type of gastric bypass surgery. During a Roux-en-Y, the surgeon uses a small part of the stomach to create a new stomach pouch, roughly the size of an egg. The surgeon connects this new, smaller stomach directly to the middle portion of the small intestine (jejunum), bypassing the rest of the stomach and the upper portion of the small intestine (duodenum).
While we can’t say that all eponyms depart ICD-10-PCS (I suspect one or two more may be lurking in the index), the vast majority of them do. If your physicians’ commonly document a procedure using an eponym, make sure you know exactly what they are doing.
Also be sure to read the operative report. The physician may be (hopefully is) documenting the elements you need to build an ICD-10-PCS code, such as approach, root operation (intent of the procedure), and body part.
This article originally appeared on HCPro’s ICD-10 Trainer blog.


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