Question

Read the coding guideline B3.2a. Multiple procedures. Apply the guideline to the following case and answer the questions. What is the root operation? Is there one procedure code or multiple procedure codes? Do all the codes have the same root operation or different? Do a research on what are condylomas? Which body system do they affect? What is the approach used in this procedure(s)? Provide the procedure code(s).

B3.2a- During the same operative episode, multiple procedures are coded if: a. The same root operation is performed on different body parts as defined by distinct values of the body part character. Examples: Diagnostic excision of liver and pancreas are coded separately.

Question:

The patient has condylomas of the cervix, vag-ina and vulva. Laser speculum was inserted via the vag-ina and using Xener on 20-watt setting the laser was used to obliterate the condyloma in both vag-ina and cervix. The laser speculum was then removed. The laser was then used to obliterate the third condyloma in the vulva area.

This is a multi-tier question, please read carefully and answer all parts.

Answer 1

ROOT OPERATION

The medical and surgical procedure section of ICD-10-PCS contains most, procedures typically reported in the hospital inpatient setting. As with all codes in ICD-10-PCS, the medical and surgical procedure codes contain seven characters, with each character representing one particular aspect of the procedure. The third character defines the root operation, or the objective of the procedure.

There are multiple procedure codes according to the system and disease affected

Different code for different root operation according to the procedure and the body parts

Condylomas are sexually transmitted disease which affwcaf genitals

2 types. Condyloma accuminata

Condyloma lata

Condyloma accuminata (also known as genital warts or anogenital warts) refers to an epidermal manifestation attributed to the epidermotropic human papillomavirus

Condyloma lata It is a wart-like leisions on the genitals. They are generally symptoms of the secondary phase of syphilis, caused by Treponema pallidum.

It affects genital system (anogenital area)

The root operation Destruction is coded for the laser removal of the condylomas of the cervix, vag-ina, and vulva. The approach value for the cervix and vag-ina is 7, through Natural or Artificial Opening and the approach value for the vulva is X which is External. (0U5C7ZZ, 0U5G7ZZ, 0U5MXZZ)