Body Part Guidelines Part 8 Flashcards
If a procedure is performed on a portion of a body part that does not have a separate _________, code the ________ corresponding to the whole body part.
Example: A procedure performed on the alveolar process of the mandible is coded to the mandible body part
Body part value
If the prefix “___” is combined with a body part to identify the site of the procedure, and the site of the procedure is not further specified, then the procedure is coded to the body part named.
Example: A procedure site identified as perirenal is coded to the kidney body part when the site of the procedure is not further specified
Peri
A procedure site described in the documentation as _________, and the documentation also indicates that it is the vulvar tissue and not the urethral tissue that is the site of the procedure, then the procedure is coded to the vulva body part
Peri-urethral
Where a specific ______ of a body part does not have its own body part value in PCS, the body part is typically coded to the closest proximal _____ that has a specific body part value.
Example: A procedure performed on the mandibular branch of the trigeminal nerve is coded to the trigeminal nerve body part value.
Branch
___________ are available for a limited number of body parts. If the identical procedure is performed on contralateral body parts, and a _________ exists for that body part, a single procedure is coded using the _________. If no __________ exists, each procedure is coded separately using the appropriate body part value.
Example: The identical procedure performed on both fallopian tubes is coded once using the body part value Fallopian Tube, Bilateral. The identical procedure performed on both knee joints is coded twice using the body part values Knee Joint, Right and Knee Joint, Left.
Bilateral body part values
Procedures performed on tendons, ligaments, bursae and fascia supporting a joint are coded to the body part in the ____________ that is the focus of the procedure.
Example: Repair of the anterior cruciate ligament of the knee is coded to the knee bursae and ligament body part in the bursae and ligaments body system.
Respective body system
Procedures performed on joint structures themselves are coded to the body part in the _____________.
Example: Knee arthroscopy with shaving of articular cartilage is coded to the knee joint body part in the Lower Joints body system.
Joint body systems
If a procedure is performed on the skin, subcutaneous tissue or fascia overlying a \_\_\_\_\_, the procedure is coded to the following body part:
• Shoulder is coded to
Upper Arm
• Elbow is coded to Lower
Arm
• Wrist is coded to Lower
Arm
• Hip is coded to Upper
Leg
• Knee is coded to Lower
Leg
• Ankle is coded to FootJoint
If a body system does not contain a separate body part value for _______, procedures performed on the _______ are coded to the body part value for the hand.
Example: Excision of finger muscle is coded to one of the hand muscle body part values in the Muscles body system.
Fingers
If a body system does not contain a separate body part value for toes, procedures performed on the toes are coded to the body part value for the _______.
Foot
_____________ includes the portion of the gastrointestinal tract from the esophagus down to and including the duodenum
Upper Intestinal Tract
_____________ includes the portion of the gastrointestinal tract from the jejunum down to and including the rectum and anus.
Lower Intestinal Tract
In the ___________ body system, the general body part values Upper Intestinal Tract and Lower Intestinal Tract are provided as an option for the root operations Change, Inspection, Removal and Revision.
Example: In the root operation Change table, change of a device in the jejunum is coded using the body part Lower Intestinal Tract.
Gastrointestinal
