Question

In: Nursing

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

Solutions

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.


Related Solutions

Assign ICD -10 PCS codes to the following procedure statement. List the root operation selected and...
Assign ICD -10 PCS codes to the following procedure statement. List the root operation selected and the code assigned? Q. Non-excisional debridement of stage 3 pressure ulcer of subcutaneous tissue of buttock?
What are the ICD-10-PCS code for this?   PROCEDURE PERFORMED: 1. Right scrotal exploration, and right spermatocelectomy....
What are the ICD-10-PCS code for this?   PROCEDURE PERFORMED: 1. Right scrotal exploration, and right spermatocelectomy. 2. Left scrotal exploration and left orchiectomy. INDICATIONS: This 55-year-old gentleman was admitted to this Hospital approximately 4 months ago with bilateral testicular pain and swelling and enlargement. Ultrasound revealed a cystic mass of the right scxxtum consistent with right hydrocele. On the left side, the patient had severe left epididymitis/orchitis that turned to an abscess with spontaneous drainage. Subsequent ultrasounds revealed essentially no...
What are the ICD-10-PCS codes for the skin biopsies?
What are the ICD-10-PCS codes for the skin biopsies?
Review the case study below and code the correct procedure(s) using ICD-10-PCS. Provide the rationale for...
Review the case study below and code the correct procedure(s) using ICD-10-PCS. Provide the rationale for your code selection. PREOPERATIVE DIAGNOSIS: 1. Gangrene right foot. POSTOPERATIVE DIAGNOSIS: 1. Gangrene right foot. OPERATION: 1. Right below the knee amputation. ANESTHESIA:               General LMA. The patient was brought to the operative suite where a general LMA anesthesia was induced. A Foley catheter was inserted and the right foot was secluded in an isolation bag and the lright lower extremity circumferentially prepped and...
Give a scenario in which the condition hypothyroidism would be coded, along with the ICD-10-CM code(s).
Give a scenario in which the condition hypothyroidism would be coded, along with the ICD-10-CM code(s).
Discussion Musculoskeletal Discuss the ICD-10-PCS guidelines that apply to the coding of the hip, knee replacements,...
Discussion Musculoskeletal Discuss the ICD-10-PCS guidelines that apply to the coding of the hip, knee replacements, and also to Spinal fusions. What information is needed to accurately code these procedures? Explain one guideline per procedure.
1.)Assign the appropriate ICD-10-CM and ICD-10-PCS code(s): A 70-year-old man was admitted after seeing bright red...
1.)Assign the appropriate ICD-10-CM and ICD-10-PCS code(s): A 70-year-old man was admitted after seeing bright red blood in the toilet following a bowel movement. An esophagogastroduodenoscopy (EGD) revealed a chronic gastric ulcer with evidence of recent bleeding. The final diagnoses documented were acute blood loss anemia and chronic gastric ulcer with recent hemorrhage. 2.) Assign the appropriate external cause code for injury due to tackle in a football game, initial encounter
What ICD-10-PCS code do you use to code vaginal delivery using vacuum extraction?
What ICD-10-PCS code do you use to code vaginal delivery using vacuum extraction?
ICD 10 PCS Code Please 1. Operative Report This is an 86-year-oid lady with left bundle,...
ICD 10 PCS Code Please 1. Operative Report This is an 86-year-oid lady with left bundle, intermittent complete heart block, first-degree AV block and syncope. For the above reasons, she is undergoing implantation of a permanent pacemaker. PROCEDURE: The patient was brought to the EP laboratory in a fasting state. Her left chest was prepped and draped in the usual sterile fashion. After local anesthesia, an incision was made on the left deltopectoral groove. The cephalic vein was isolated. The...
1. Which of the following is NOT an audit procedure related to the balance of cash recorded by the client. Group of answer choices
1. Which of the following is NOT an audit procedure related to the balance of cash recorded by the client. Group of answer choicesA) Independent Count of Cash on Hand as of Balance Sheet dateB) Tracing Items in Bank Reconciliation to Bank Cutoff StatementC) Reperformance of Bank ReconciliationD) Tracing Checks Written After Balance Sheet Date to Related Invoices2. What population should an auditor use when selecting which customers to send A/R confirmations? Group of answer choicesA. Outstanding Sales Invoices as...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT