Supplement (U) and Replacement (R) root operations are found in the Medical & Surgical Section “0”. They are a part of the group of Root Operations that “always involve a device” (ICD-10 PCS Training Manual, 2014). REMEMBER: In the root operations Supplement and Replacement, a device is left in or on a body part after the procedure is concluded and can be removed in subsequent procedures. The root operation Supplement is defined as putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part. One of the more common procedures is the repair of prolapsed pelvic organs using a vaginal mesh. The mesh is used to strengthened or reinforce the weak tissues that support the vagina and uterus. While Replacement is defined as putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part. One of the more common procedures is total knee replacement. When the patient undergoes a total knee replacement, the surgeon removes damaged cartilage and bone from the surface of the knee joint and replaces them with a man-made surface of metal and plastic
This document discusses concepts related to periodontal pocket elimination. It defines a periodontal pocket and describes how plaque can lead to pocket formation in a vicious cycle. Non-surgical therapy like scaling and root planing can reduce pocket depth by resolving inflammation. Surgical pocket therapies aim to eliminate the pocket and restore periodontal tissues, resulting in new attachment, reattachment, or epithelial adaptation. Techniques discussed include gingivectomy, curettage, the excisional new attachment procedure, and laser-assisted procedures to access the root surface and eliminate pockets. The goal is to restore periodontal health and function.
The document discusses the anatomy and types of skin grafts and skin flaps. It describes that skin has two layers, the epidermis and dermis. There are two types of skin grafts - partial thickness grafts which remove some dermis and full thickness grafts which remove the full dermis. Skin flaps differ in that they maintain the blood supply of the transferred tissue. Local flaps use nearby tissue while distant flaps require long pedicles. The techniques, indications, and advantages/disadvantages of various skin grafts and flaps are outlined.
This document discusses different methods for classifying flap procedures. It describes classification based on composition, proximity to the defect, method of movement, and vascular anatomy. Specific flap types are also outlined, including fascio/cutaneous flaps classified by pedicle type and musculocutaneous flaps classified by their vascular supply patterns. Common examples of specific flap procedures are provided.
Reconstruction dr.shaji HEAD AND NECK RECONSTRUCTIONS Shaji Thomas
This document discusses reconstructive options after head and neck cancer surgery. It outlines the impact of major head and neck surgery and goals of reconstructive surgery to restore form and function. A reconstructive ladder is presented from primary closure to skin grafts to local and regional flaps to distant and free flaps. Specific flaps are described like pectoralis major and free fibula flaps. Reconstructive surgery improves quality of life after cancer surgery.
1. The document discusses different types of skin grafts and flaps used in plastic surgery. Skin grafts involve transplanting skin tissue from one part of the body to another without maintaining its original blood supply, while skin flaps maintain their original blood supply.
2. There are two main types of skin grafts - split thickness and full thickness grafts. Split thickness grafts contain some dermis while full thickness grafts contain the full epidermis and dermis. Skin flaps can be local flaps that remain attached to their original blood supply or distant flaps that are tunneled to the recipient site.
3. Key factors for successful grafts and flaps include good contact between the graft
This document discusses different types of flaps used in plastic surgery for tissue reconstruction. It begins by explaining that flaps are vascularized tissue transferred from one part of the body to another to reconstruct areas of tissue loss. The document then categorizes flaps based on their components, configuration, congruity, circulation, and conditioning. It provides examples of various local, regional, pedicled, and free flaps. Key advantages and disadvantages of different flap types are highlighted. Monitoring techniques and potential complications of flap surgery are also summarized.
Basic Principles Of Local Flap In Plastic SurgeryShamendra Sahu
1) The document discusses principles of local flaps in plastic surgery, including definitions, classifications, and history. Local flaps are classified based on location, blood supply, movement, and tissue composition.
2) Key classifications include random pattern flaps which rely on subdermal plexus, and axial pattern flaps named after a source artery. Advancement, pivot, and interpolation flaps are classified by their movement.
3) The history outlines early descriptions of cutaneous territories and vascular anatomy from the 16th century to present. Delaying flaps was also described as enhancing vascularity through various mechanisms.
This document discusses concepts related to periodontal pocket elimination. It defines a periodontal pocket and describes how plaque can lead to pocket formation in a vicious cycle. Non-surgical therapy like scaling and root planing can reduce pocket depth by resolving inflammation. Surgical pocket therapies aim to eliminate the pocket and restore periodontal tissues, resulting in new attachment, reattachment, or epithelial adaptation. Techniques discussed include gingivectomy, curettage, the excisional new attachment procedure, and laser-assisted procedures to access the root surface and eliminate pockets. The goal is to restore periodontal health and function.
The document discusses the anatomy and types of skin grafts and skin flaps. It describes that skin has two layers, the epidermis and dermis. There are two types of skin grafts - partial thickness grafts which remove some dermis and full thickness grafts which remove the full dermis. Skin flaps differ in that they maintain the blood supply of the transferred tissue. Local flaps use nearby tissue while distant flaps require long pedicles. The techniques, indications, and advantages/disadvantages of various skin grafts and flaps are outlined.
This document discusses different methods for classifying flap procedures. It describes classification based on composition, proximity to the defect, method of movement, and vascular anatomy. Specific flap types are also outlined, including fascio/cutaneous flaps classified by pedicle type and musculocutaneous flaps classified by their vascular supply patterns. Common examples of specific flap procedures are provided.
Reconstruction dr.shaji HEAD AND NECK RECONSTRUCTIONS Shaji Thomas
This document discusses reconstructive options after head and neck cancer surgery. It outlines the impact of major head and neck surgery and goals of reconstructive surgery to restore form and function. A reconstructive ladder is presented from primary closure to skin grafts to local and regional flaps to distant and free flaps. Specific flaps are described like pectoralis major and free fibula flaps. Reconstructive surgery improves quality of life after cancer surgery.
1. The document discusses different types of skin grafts and flaps used in plastic surgery. Skin grafts involve transplanting skin tissue from one part of the body to another without maintaining its original blood supply, while skin flaps maintain their original blood supply.
2. There are two main types of skin grafts - split thickness and full thickness grafts. Split thickness grafts contain some dermis while full thickness grafts contain the full epidermis and dermis. Skin flaps can be local flaps that remain attached to their original blood supply or distant flaps that are tunneled to the recipient site.
3. Key factors for successful grafts and flaps include good contact between the graft
This document discusses different types of flaps used in plastic surgery for tissue reconstruction. It begins by explaining that flaps are vascularized tissue transferred from one part of the body to another to reconstruct areas of tissue loss. The document then categorizes flaps based on their components, configuration, congruity, circulation, and conditioning. It provides examples of various local, regional, pedicled, and free flaps. Key advantages and disadvantages of different flap types are highlighted. Monitoring techniques and potential complications of flap surgery are also summarized.
Basic Principles Of Local Flap In Plastic SurgeryShamendra Sahu
1) The document discusses principles of local flaps in plastic surgery, including definitions, classifications, and history. Local flaps are classified based on location, blood supply, movement, and tissue composition.
2) Key classifications include random pattern flaps which rely on subdermal plexus, and axial pattern flaps named after a source artery. Advancement, pivot, and interpolation flaps are classified by their movement.
3) The history outlines early descriptions of cutaneous territories and vascular anatomy from the 16th century to present. Delaying flaps was also described as enhancing vascularity through various mechanisms.
This issue discusses the code structure for the ICD-10 PCS Medical and Surgical Section. It also differentiates between a valid and an invalid PCS code.
Codes 518.81 (ICD-9 CM) and J96.00-.02 (ICD-10 CM) may be assigned as the principal diagnosis when it is the condition established after study to be chiefly responsible for occasioning the admission to the hospital and if the selection is supported by the Alphabetic Index and Tabular List for both nomenclatures.
CyntCoding Health Information Services (CCHIS) specializes in medical coding and reimbursement services with nearly 30 years of experience. CCHIS assists healthcare providers with coding, compliance, auditing, Medicare audits, staff training, and billing to optimize reimbursement. The company is owned and operated by Cynthia Brown, an experienced healthcare consultant and coding expert.
The document discusses the differences between septicemia and sepsis. Septicemia is defined as the presence of pathogens or toxins in the bloodstream, while sepsis is a systemic inflammatory response due to an infection. Both can result in SIRS (systemic inflammatory response syndrome). Sepsis can lead to organ dysfunction or septic shock. The document provides guidance on when to query physicians, such as when documentation is unclear whether the patient has sepsis or septicemia.
The January 2015 issue of the CCHIS Newsletter "Coding Yesterday's Nomenclature Today" discusses Human Immunodeficiency Virus (HIV) Infection coding guidelines in both ICD-9 CM and ICD-10 CM.
Sometimes the difficulty in medical coding can be traced back to the lack of understanding of what is taking place during the encounter. For instance, knowing the difference between the types ostomies can assist the coder in assigning both the correct diagnosis codes and the procedural codes. This slideshare is an effort to illustrate the coding for some of the more common ostomies. There are certainly others to consider.
. In ICD-9 CM codes can be found in Chapter 11 Complications of Pregnancy, Childbirth and the Puerperium (630-679). Any conditions which occur during or affect the pregnancy and puerperium periods MUST be preceded by a code from this chapter with the use of additional codes from other chapters to further described the condition when needed. ICD-10 CM codes can be found in Chapter 15 Pregnancy, Childbirth and the Puerperium (O00-O9A).
The Centers for Medicare & Medicaid Services (CMS) defines a debridement as “the removal of infected, contaminated, damaged, devitalized, necrotic, or foreign tissue from a wound (CMS.gov, 2014). Debridement may include the following: skin, subcutaneous tissue, fascia, muscle, bone and the removal of foreign material (CMS.gov, 2014).
Atherosclerosis of the extremities is divided into three categories: native arteries, bypass grafts, and chronic total occlusion. It is caused by plaque buildup in the artery wall, which causes the artery to lose elasticity over time and can lead to complications like pain and gangrene. Coders must have documentation specifying atherosclerosis and use the appropriate ICD-9 and ICD-10 codes depending on location and severity.
Heart failure is the heart's inability to pump enough blood to sustain the body. It occurs when the heart cannot fill with enough blood (diastolic heart failure) or cannot pump blood with enough force (systolic heart failure). Common symptoms include shortness of breath, fatigue, and swelling. Heart failure can have various causes and affects both children and adults. It is important to accurately code heart failure in medical records.
The presumption behind spaced repetition is simple. When we first learn a fact, the memory of it is fresh, but subject to change or it simply disappears. Each time we encounter that fact again, however, the memory becomes a more established part of our knowledge, especially if the encounters are spread out over time. In other words, exposing your mind to that same fact multiple times over weeks or months fixes it firmly in your brain.
The document discusses the implications of the second delay of the ICD-10 implementation until October 1, 2015. It warns that momentum, processes, training, and software usage could be lost due to the delay. It emphasizes the challenge of keeping everyone motivated and focused on the new implementation goal. The author provides recommendations for conducting an organizational assessment, maintaining a positive outlook, re-evaluating training needs, and beginning early implementation of certain ICD-10 aspects to prevent loss of progress already made.
This document discusses best practices for effective training of adult learners. It notes that trainings are most effective when they incorporate the material into the trainees' actual work processes. The document outlines that adults learn best through hands-on experience and when the material is immediately useful. Effective trainers involve trainees, understand their needs and preferences, and make the objectives relevant to their jobs. Showing trainees how the material applies positively to their work helps motivate learning.
The document discusses coding guidelines for compression fractures in ICD-9-CM and ICD-10-CM. In ICD-9-CM, compression fractures are assumed to be traumatic unless otherwise specified, and are coded by site. In ICD-10-CM, traumatic compression fractures continue to be coded by site, while non-traumatic compression fractures are only coded as vertebral collapse. The document emphasizes the importance of documenting whether a compression fracture is traumatic or non-traumatic, and specifying the site, for accurate coding in ICD-10-CM.
This document discusses the differences between incision, excision, and resection procedures in ICD-9-CM and ICD-10-PCS coding. It defines each term and provides examples. Incision refers to a cut made during surgery, while excision means cutting out a portion of a body part and resection is cutting out or removing all of a body part. In ICD-10-PCS, procedures are classified by their root operation rather than using the term "incision." The document emphasizes that accurate differentiation between these terms is important for correct medical coding and reimbursement.
This document celebrates Black History Month and highlights the contributions of influential African Americans in various fields such as medicine, technology, media, literature, music, film, religion, law, and politics. It provides brief biographies of figures like Henrietta Lacks, Dr. Daniel Williams, Vivien Thomas, Andrew Beard, Berry Gordy Jr., Sidney Poitier, Thurgood Marshall, Colin Powell, and Andrew Young who made groundbreaking achievements as the first or most prominent African Americans in their respective fields. The overall message is one of pride in Black history and appreciation for the bravery and persistence of these individuals who helped shape culture and society.
Dr. Sherman Lai, MD — Guelph's Dedicated Medical ProfessionalSherman Lai Guelph
Guelph native Dr. Sherman Lai, MD, is a committed medical practitioner renowned for his thorough medical knowledge and caring patient care. Dr. Lai guarantees that every patient receives the best possible medical care and assistance that is customized to meet their specific needs. She has years of experience and is dedicated to providing individualized health solutions.
This issue discusses the code structure for the ICD-10 PCS Medical and Surgical Section. It also differentiates between a valid and an invalid PCS code.
Codes 518.81 (ICD-9 CM) and J96.00-.02 (ICD-10 CM) may be assigned as the principal diagnosis when it is the condition established after study to be chiefly responsible for occasioning the admission to the hospital and if the selection is supported by the Alphabetic Index and Tabular List for both nomenclatures.
CyntCoding Health Information Services (CCHIS) specializes in medical coding and reimbursement services with nearly 30 years of experience. CCHIS assists healthcare providers with coding, compliance, auditing, Medicare audits, staff training, and billing to optimize reimbursement. The company is owned and operated by Cynthia Brown, an experienced healthcare consultant and coding expert.
The document discusses the differences between septicemia and sepsis. Septicemia is defined as the presence of pathogens or toxins in the bloodstream, while sepsis is a systemic inflammatory response due to an infection. Both can result in SIRS (systemic inflammatory response syndrome). Sepsis can lead to organ dysfunction or septic shock. The document provides guidance on when to query physicians, such as when documentation is unclear whether the patient has sepsis or septicemia.
The January 2015 issue of the CCHIS Newsletter "Coding Yesterday's Nomenclature Today" discusses Human Immunodeficiency Virus (HIV) Infection coding guidelines in both ICD-9 CM and ICD-10 CM.
Sometimes the difficulty in medical coding can be traced back to the lack of understanding of what is taking place during the encounter. For instance, knowing the difference between the types ostomies can assist the coder in assigning both the correct diagnosis codes and the procedural codes. This slideshare is an effort to illustrate the coding for some of the more common ostomies. There are certainly others to consider.
. In ICD-9 CM codes can be found in Chapter 11 Complications of Pregnancy, Childbirth and the Puerperium (630-679). Any conditions which occur during or affect the pregnancy and puerperium periods MUST be preceded by a code from this chapter with the use of additional codes from other chapters to further described the condition when needed. ICD-10 CM codes can be found in Chapter 15 Pregnancy, Childbirth and the Puerperium (O00-O9A).
The Centers for Medicare & Medicaid Services (CMS) defines a debridement as “the removal of infected, contaminated, damaged, devitalized, necrotic, or foreign tissue from a wound (CMS.gov, 2014). Debridement may include the following: skin, subcutaneous tissue, fascia, muscle, bone and the removal of foreign material (CMS.gov, 2014).
Atherosclerosis of the extremities is divided into three categories: native arteries, bypass grafts, and chronic total occlusion. It is caused by plaque buildup in the artery wall, which causes the artery to lose elasticity over time and can lead to complications like pain and gangrene. Coders must have documentation specifying atherosclerosis and use the appropriate ICD-9 and ICD-10 codes depending on location and severity.
Heart failure is the heart's inability to pump enough blood to sustain the body. It occurs when the heart cannot fill with enough blood (diastolic heart failure) or cannot pump blood with enough force (systolic heart failure). Common symptoms include shortness of breath, fatigue, and swelling. Heart failure can have various causes and affects both children and adults. It is important to accurately code heart failure in medical records.
The presumption behind spaced repetition is simple. When we first learn a fact, the memory of it is fresh, but subject to change or it simply disappears. Each time we encounter that fact again, however, the memory becomes a more established part of our knowledge, especially if the encounters are spread out over time. In other words, exposing your mind to that same fact multiple times over weeks or months fixes it firmly in your brain.
The document discusses the implications of the second delay of the ICD-10 implementation until October 1, 2015. It warns that momentum, processes, training, and software usage could be lost due to the delay. It emphasizes the challenge of keeping everyone motivated and focused on the new implementation goal. The author provides recommendations for conducting an organizational assessment, maintaining a positive outlook, re-evaluating training needs, and beginning early implementation of certain ICD-10 aspects to prevent loss of progress already made.
This document discusses best practices for effective training of adult learners. It notes that trainings are most effective when they incorporate the material into the trainees' actual work processes. The document outlines that adults learn best through hands-on experience and when the material is immediately useful. Effective trainers involve trainees, understand their needs and preferences, and make the objectives relevant to their jobs. Showing trainees how the material applies positively to their work helps motivate learning.
The document discusses coding guidelines for compression fractures in ICD-9-CM and ICD-10-CM. In ICD-9-CM, compression fractures are assumed to be traumatic unless otherwise specified, and are coded by site. In ICD-10-CM, traumatic compression fractures continue to be coded by site, while non-traumatic compression fractures are only coded as vertebral collapse. The document emphasizes the importance of documenting whether a compression fracture is traumatic or non-traumatic, and specifying the site, for accurate coding in ICD-10-CM.
This document discusses the differences between incision, excision, and resection procedures in ICD-9-CM and ICD-10-PCS coding. It defines each term and provides examples. Incision refers to a cut made during surgery, while excision means cutting out a portion of a body part and resection is cutting out or removing all of a body part. In ICD-10-PCS, procedures are classified by their root operation rather than using the term "incision." The document emphasizes that accurate differentiation between these terms is important for correct medical coding and reimbursement.
This document celebrates Black History Month and highlights the contributions of influential African Americans in various fields such as medicine, technology, media, literature, music, film, religion, law, and politics. It provides brief biographies of figures like Henrietta Lacks, Dr. Daniel Williams, Vivien Thomas, Andrew Beard, Berry Gordy Jr., Sidney Poitier, Thurgood Marshall, Colin Powell, and Andrew Young who made groundbreaking achievements as the first or most prominent African Americans in their respective fields. The overall message is one of pride in Black history and appreciation for the bravery and persistence of these individuals who helped shape culture and society.
More from CyntCoding Health Information Services (20)
Dr. Sherman Lai, MD — Guelph's Dedicated Medical ProfessionalSherman Lai Guelph
Guelph native Dr. Sherman Lai, MD, is a committed medical practitioner renowned for his thorough medical knowledge and caring patient care. Dr. Lai guarantees that every patient receives the best possible medical care and assistance that is customized to meet their specific needs. She has years of experience and is dedicated to providing individualized health solutions.
The Ultimate Guide in Setting Up Market Research System in Health-TechGokul Rangarajan
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
"Market Research it too text-booky, I am in the market for a decade, I am living research book" this is what the founder I met on the event claimed, few of my colleagues rolled their eyes. Its true that one cannot over look the real life experience, but one cannot out beat structured gold mine of market research.
Many 0 to 1 startup founders often overlook market research, but this critical step can make or break a venture, especially in health tech.
But Why do they skip it?
Limited resources—time, money, and manpower—are common culprits.
"In fact, a survey by CB Insights found that 42% of startups fail due to no market need, which is like building a spaceship to Mars only to realise you forgot the fuel."
Sudharsan Srinivasan
Operational Partner Pitchworks VC Studio
Overconfidence in their product’s success leads founders to assume it will naturally find its market, especially in health tech where patient needs, entire system issues and regulatory requirements are as complex as trying to perform brain surgery with a butter knife. Additionally, the pressure to launch quickly and the belief in their own intuition further contribute to this oversight. Yet, thorough market research in health tech could be the key to transforming a startup's vision into a life-saving reality, instead of a medical mishap waiting to happen.
Example of Market Research working
Innovaccer, founded by Abhinav Shashank in 2014, focuses on improving healthcare delivery through data-driven insights and interoperability solutions. Before launching their platform, Innovaccer conducted extensive market research to understand the challenges faced by healthcare organizations and the potential for innovation in healthcare IT.
Identifying Pain Points: Innovaccer surveyed healthcare providers to understand their difficulties with data integration, care coordination, and patient engagement. They found widespread frustration with siloed systems and inefficient workflows.
Competitive Analysis: Analyzed competitors offering similar solutions in healthcare analytics and interoperability. Identified gaps in comprehensive data aggregation, real-time analytics, and actionable insights.
Regulatory Compliance: Ensured their platform complied with HIPAA and other healthcare data privacy regulations. This compliance was crucial to gaining trust from healthcare providers wary of data security issues.
Customer Validation: Conducted pilot programs with several healthcare organizations to validate the platform's effectiveness in improving care outcomes and operational efficiency. Gathered feedback to refine features and user interface.
2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...Media Logic
When it comes to creating marketing strategies that target older adults, it is crucial to have insight into their media habits and preferences. Understanding how older adults consume and use media is key to creating acquisition and retention strategies. We recently conducted our seventh annual survey to gain insight into the media preferences of older adults in 2024. Here are the survey responses and marketing implications that stood out to us.
Nursing management of the patient with Tonsillitis PPTblessyjannu21
Prepared by Prof. Blessy Thomas MSc Nursing, FNCON, SPN. The tonsils are two small glands that sit on either side of the throat.
In young children, they help to fight germs and act as a barrier against infection.
Tonsils act as filters, trapping germs that could otherwise enter the airways and cause infection.
They also make antibodies to fight infection.
But sometimes, they get overwhelmed by bacteria or viruses.
This can make them swollen and inflamed.
Tonsillitis is an infection of the tonsils, two masses of tissue at the back of the throat.
Tonsillitis is inflammation of the tonsils, two oval-shaped pads of tissue at the back of the throat — one tonsil on each side.
Tonsillitis is common, especially in children.
It can happen once in a while or come back again and again in a short period.Nursing management of Tonsillitis is important.
A comprehensive understanding of the operations for management of Tonsillitis and areas requiring special attention would be important.
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At Malayali Kerala Spa Ajman we providing the top quality massage services for our customers.
Our massage center prioritizes efficiency to ensure a quality massage experience for our clients at Malayali Kerala Spa Ajman. We offer a convenient appointment system and precise massage services.
Reach us at Villa No 7, Near Ammar Bin Yasir Street Al Rashidiya 2 - Ajman - United Arab Emirates.
Phone : +971 529818279
About CentiUP - Introduction and Products.pdfCentiUP
A heightened child formula, with the trio of Nano Calcium, HMO, and DHA mixed in the golden ratio, combined with NANO technology to help nourish the body deeply and comprehensively, helps children increase height, boost brain power, and improve the immune system and overall well-being.
Sunscreens, IP-I, Dr. M.N.CHISHTI, Asst Prof. Dept of Pharmaceutics, YBCCPA
Supplement vs replacement root operations blog
1. SUPPLEMENT VS REPLACEMENT ROOT OPERATIONS
Supplement (U) and Replacement (R) root operations are found in the Medical & Surgical
Section “0”. They are a part of the group of Root Operations that “always involve a device”
(ICD-10 PCS Training Manual, 2014). REMEMBER: In the root operations Supplement and
Replacement, a device is left in or on a body part after the procedure is concluded and can be
removed in subsequent procedures. The root operation Supplement is defined as putting in or on
biological or synthetic material that physically reinforces and/or augments the function of a
portion of a body part. One of the more common procedures is the repair of prolapsed pelvic
organs using a vaginal mesh. The mesh is used to strengthened or reinforce the weak tissues that
support the vagina and uterus. While Replacement is defined as putting in or on biological or
synthetic material that physically takes the place and/or function of all or a portion of a body
part. One of the more common procedures is total knee replacement. When the patient
undergoes a total knee replacement, the surgeon removes damaged cartilage and bone from the
surface of the knee joint and replaces them with a man-made surface of metal and plastic.
The Table below depicts the body systems that have both of the root operations and there
devices:
BODY SYSTEM SUPPLEMENT DEVICES REPLACEMENT DEVICES
HEART & GREAT VESSELS
Autologous Tissue Substitute; Zooplastic Tissue;
Synthetic Substitute; Nonautologous Tissue
Autologous Tissue Substitute; Zooplastic
Tissue; Synthetic Substitute; Nonautologous
Tissue
UPPER ARTIERIES
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
LOWER ARTERIES
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
UPPER VEINS
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
LOWER VEINS
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
EYE Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue;
Intraocular Telescope
EAR, NOSE, SINUS
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
MOUTH & THROAT
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
GASTROINTESTINAL SYSTEM
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
HEPATOBILIARY SYSTEM & PANCREAS
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
SKIN & BREAST
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute;
Nonautologous Tissue
SUBCUTANEOUS & FASCIA
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
TENDONS
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
HEAD & FACIAL BONES
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
UPPER BONES
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
LOWER BONES
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
UPPER JOINTS Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute, Reverse Ball & Socket;
Nonautologous Tissue
LOWER JOINTS Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue; Liner, Resurfacing Device
Autologous Tissue Substitute; Synthetic
Substitute (Metal, Metal Polyethylene,
Ceramic, Metal on Polyethylene);
Nonautologous Tissue
URINARY SYSTEM
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue
Autologous Tissue Substitute; Synthetic
Substitute; Nonautologous Tissue
MALE REPRODUCTIVE SYSTEM
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue Synthetic Substitute
ANATOMICAL REGION, UPPER EXTREMITIES
Autologous Tissue Substitute; Synthetic Substitute;
Nonautologous Tissue Autologous Tissue Substitute
2. So far, the distinction between the correct applications of the root operations is clear; but
what happens when the distinction is not so clear? Deciding when to use the correct root
operation in the body systems that have both root operations can be perplexing. One example
would be when a graft is being used as a device to replace or supplement a portion of or all of a
body part. One clue would be that in the root operation Replacement “the body part or a portion
of the body part requiring the graft would have to be taken out or replaced, or may be taken out,
physically eradicated, or rendered nonfunctional during the replacement procedure” (ICD-10
PCS Training Manual, 2014). REMEMBER: If a Replacement device is being removed; the
root operation is Removal (P). The most common form of graft replacement is the skin graft.
Skin grafts are often employed after serious injuries when some of the body’s skin is damaged.
Surgical removal of the damaged skin is followed by skin grafting. The grafting serves two
purposes: reduce the course of treatment needed and improve the function and appearance of the
area of the body which receives the skin graft.
On the other hand, when a graft is being used to augment a portion of or all of a body part
the root operation Supplement is appropriate. The difference is that a portion of or all of the
body part may have been taken out prior to the surgery or not at all unlike in a Replacement
where a portion of or all of the body part is taken out during the procedure. A form of graft
augmentation would be nerve grafting. Nerve grafting is a readily available solution for the
problem of gapping caused by a nerve injury. In this procedure the damaged nerve is
reconstructed by bridging the defective gap between two ends of a nerve to restore its function.
The graft does not take the place of the nerve; but its purpose is to eliminate the gap caused by
the injury so that the function of the nerve is not impeded.
3. Cynthia Brown, MBA, RHIT, CCS
AHIMA Approved ICD-10 CM/PCS Trainer
CyntCoding Health Information Services
Phone: 404-992-8984/E-Fax: 678-805-4919
P.O. Box 3019
Decatur, GA 30031
cyntcoder@cyntcodinghealthinformationservices.com
www.cyntcodinghealthinformationservices.com
http://cyntcodinghealthinformationservices.blogspot.com
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