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An arthroscopic procedure is coded with which of the following approaches in ICD-10-PCS? Group of answer...

An arthroscopic procedure is coded with which of the following approaches in ICD-10-PCS?

Group of answer choices:

Percutaneous endoscopic

External

Percutaneous

Open

Expert Solution

An arthroscopic procedure is coded with which of the following approaches in ICD-10-PCS?

Group of answer choices:

Percutaneous endoscopic

External

Percutaneous

Open

Answer: Percutaneous endoscopic

The explanation for the correct answer option:

arthroscopy literally means arthro--joint plus scope--visualise;[visualise joint using arthroscope]

Percutaneous endoscopic literally means percutaneous --- through skin; endoscopic -- using endoscopic instrument.(arthroscope is an endoscope)

An Arthroscopic procedure is a procedure where a small skin incision or puncture is made in the skin over a joint and endoscope is inserted in order to perform a procedure under direct joint visualisation.This is a minimally invasive procedure of a joint intended for joint cavity visualisation and repair procedures and has advantages of less pain and scarring.Since arthroscopy is done using a percutaneous endoscopic approach,hence an Arthroscopic procedure is coded as percutaneous endoscopic approach in the ICD--10--PCS and so this is the correct answer option.

The examples of the arthroscopic procedure coding in ICD-10- PCS is given below

0SQD4ZZ-Repair left knee joint, percutaneous endoscopic approach

0SQC4ZZ-Repair right knee joint .percutaneous endoscopic approach

It is the fifth character in the code (4)which identifies the approach (percutaneous andoscopic).

The reasons why the other options are not the correct answer:

External approach indicates the approach from outside which is not true with arthroscopic procedures.An arthroscopic procedure cannot be performed externally and hence this is not the correct answer.

Percutaneous approach indicates approach through skin but does not specify the use of the arthroscope/endoscope for the procedure, hence does not denote arthroscopic procedure.So,this is not the correct answer.

Open approach indicates open surgery and not the use of arthroscope.and hence this is not the correct answer.

Since the other three options do not specify the use of endoscope, they are not the correct options for the performance of an arthroscopic procedure and hence the ICD-10-PCS code of an arthroscopic procedure does not include these approach options.

Nightingale answered 2 years ago

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