The May issue of the CCHIS Newsletter discusses the use of the Root Operation Transplantation (Y).

1. An organ transplant replaces a diseased, absent or deteriorating organ with
a healthy organ. The deteriorating organ is removed from the transplant
recipient and the donor’s healthy tissue or organ is then transplanted. The
exchange is made during what is considered a major operative encounter.
Not all organs are transplantable. Some of the most common organ
transplants are:
 The Kidney for diseases such as Diabetes, Polycystic Kidney
Disease or Lupus.
 The Heart for Coronary Artery Disease, Cardiomyopathy or Heart
Failure.
 The Lung for Cystic Fibrosis or COPD.
 Pancreas for Diabetes.
 Liver for Cirrhosis
 Bone Marrow Transplant for Leukemia, Aplastic Anemia or
Multiple Myeloma
 Cornea Transplant for Fuchs’ Dystrophy, Keratoconus or
postoperative Cataract surgery.
 Cord Blood Cell Transplant (a form of Stem Cell Transplant) for
various cancers.
 Bone Marrow Transplant for the restoration of stem cells destroyed
by high dosages of and/or radiation therapy.
Most Common Organ Transplants
WHAT TO EXPECT
1 Most Common Organ
Transplants
2 Transplantation (Y)
3 Still Confused?
4 Requests for Coding Topics
“Not all organs are
transplantable.”
May 2014
Volume 1 Issue 5
By Cynthia Brown, MBA, RHIT, CCS
www.cyntcodinghealthinformationservices.com
CCHIS, P.O. Box 3019, Decatur, GA 30031 404-992-8984
http://www.cyntcodinghealthinformationservices.com
Cynthia@cyntcodinghealthinformationservices.com [phone]
CODING YESTERDAY’S NOMENCLATURE TODAY®
Root Operation Transplantation (Y)
CODING NEWSLETTER FOR HEALTHCARE
CODING PROFESSIONALS

2. Page 2 Coding Yesterday’s Nomenclature Today
Transplantation is a part of a group of four root operations “that put
in or put back or move some or all of a body part.” When an organ, such as
the kidney or lung is being transplanted the third character in a seven
character ICD-10 PCS code of the Medical and Surgical or Obstetrics
Sections is “Y”; unless bone marrow, pancreatic islet cells, female ovum or
stem cells are being transplanted. In which case, the coder should look in
the Administration Section (3); Physiological Systems and Anatomical
Regions Body System (E); and Introduction (0) Root Operation for correct
code assignment. In the Obstetrics Section (1), the root operation is still
(Y); but the body system is Pregnancy (0) and the body part is Products of
Conception (0). The root operation Transplantation (Y) is defined as putting
in or on all or a portion of a living body part taken from another individual
or animal to physically take the place and/or function of all or a portion of a
similar body part. When bone marrow, pancreatic islet cells, female ovum,
or stem cells are transplanted, the root operation Introduction (0) is used
and is defined as putting in or on a therapeutic, diagnostic, nutritional,
physiological, or prophylactic substance except blood or blood products.
The Body Systems in the Medical and Surgical Section (0) for
Transplantation (Y) are: Heart & Great Vessels, Lymphatic & Hemic
System, Respiratory System, Gastrointestinal System, Hepatobiliary System
& Pancreas, Urinary System, and the Female Reproductive System.
There is NEVER a device (5th
character Z is used) in the
transplantation of a body part from the Medical Surgical Section (0) or the
Obstetrics Section (1). In the Administration Section (3) there is a
substance character rather than a device character. The Substance is
Pancreatic Islet Cells (U), Fertilized Ovum (Q), or Stem Cells, Somatic (E).
The qualifiers in the Medical and Surgical Section are types of transplants,
namely Allogeneic (0), Syngeneic (1), or Zooplastic (2). An Allogeneic
transplant is the taking from a different individual who is of the same
species. A Syngeneic transplant is the taking from an individual with the
same genes, such as an identical twin. A Zooplastic transplant is the taking
from an animal. In the Obstetrics Section (1) the qualifiers are body
systems rather than types of transplants. The qualifiers for the
Administration Section (3) are Autologous (0) or Nonautologous (1).
Autologous refers to that which comes from the patient and Nonautologous
refers to that which is taken from another human being.
Note: Cornea transplants and heart valve transplants are found
the Medical and Surgical Section (0) using the root operation
Replacement (R) rather than the root operation Transplantation (Y).
www.cyntcodinghealthinformationservices.com
“Harvesting Bone Marrow”
“The Administration
Section (3) is consulted
for bone marrow
transplants.”
Transplantation—Root Operation (Y)

3. Coding Yesterday’s Nomenclature Today
MEDICAL AND SURGICAL
ADMINISTRATION
OBSTETRICS
Medical
&
Surgical (0)
Qualifier
Allogeneic (0)
Qualifier
Syngeneic (1)
Qualifier
Zooplastic (2)
Root Operation
Transplantation (Y)
Device
No Device (Z)
Administration (3)
Qualifier
Autologous (0)
Qualifier
Nonautologous (1)
Root Operation
Introduction (0)
Substance
Pancreatic Islet
Cells (U)
Substance
Fertilized Ovum
(Q)
Substance
Stem Cells,
Somatic (E)
Obstetrics (1)
Qualifier
Body Systems
Root Operation
Transplantation (Y)
Device
No Device (Z)
AHIMA approved ICD-10 CM/PCS
Trainer
STILL CONFUSED?
ALL THINGS CODING®
“Accurate and
complete coding is a
must in today’s
economically
challenged healthcare
environment.”

4. Page 4 Coding Yesterday’s Nomenclature Today
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