POSTOPERATIVE DIAGNOSIS: Menometrorrhagia. This lesson will cover the root operations found in the Medical and Surgical related sections (which would include sections 0-9). With endometrial biopsy, different abnormalities of uterus can be found. COMPLICATIONS: None. ALSO CALLED COLD KNIFE BIOPSY, USED TO TREAT VERY EARLY STAGES OF CERVICAL CANCER. Physicians are using excision/resection interchangeably … Coding Root Operations with ICD-10-PCS- Understanding Restriction Occlusion and Dilation. Check your Understanding- Week 2 For: Professor Lafleur BY: Kathleen Jenema For each of the following descriptions, identify the root operation and the complete ICD-10-PCS code. Although you would like to report both services, perhaps you've heard that only the procedure should be billed. Supplement includes a wide range of procedures, from hernia repairs using mesh reinforcement to heart valve annuloplasties and … Endometrial Biopsy via Pipelle Suction Curette . Root operations involving cutting or se… CERVICAL COLONIZATION IS CODED USING ROOT OPERATION? Root Operation X: Transfer. For example, Dr. Sharpe documents a thoracentesis, which is a procedure to remove fluid from the space between the lining of the outside of the lungs and the chest wall. A TOTAL ABDOMINAL HYSTERECTOMY WITH A BILATERAL SALPINGO-OOPHORECTOMY REQUIRES ____ CODES? Learn about the types of cervical biopsies, how they're performed, and what the results mean. Correct! Sternum 07DQ. ... LEEP, colposcopy, endometrial ablation and lesion destruction. Root operation: excision ICD-10-PCS code: 07B60ZX Case Study 2. procedures performed following a delivery or abortion for curettage of the endometrium or evacuation of retained products of conception are all … A.Fragmentation B.Destruction C.Fragmentation and Extirpation D.Extirpation Which Root Operation Is It? If no other procedure is performed at that time. 4.2/5 (648 Views . answer. Traditionally, dilation and curettage has been performed in a blind fashion. an endometrial biopsy, however, you might be uncertain about how to report the encounter. Start studying Root Operation Review. The only option that includes the root operation Alteration is option C. Scenario #3, continued Section Medical and Surgical 0 ... using the cold biopsy forceps and sent to pathology for examination. This section of ICD-10-PCS consists of seven root operations with five of the root operations being unique to the Placement section. ESTIMALTED BLOOD LOSS: 100-150 cc. The CPT code used for colposcopy in conjunction with endometrial biopsy is 57420. 4 Photo 3: The below is an excerpt from ICD-10-PCS to show the coder the body part values in the respiratory body system. For example, the code for an endometrial biopsy without the use of a scope is 0UDB7ZX. draining the cyst and then excising the cystic sac in the bartholin's gland. We would use the same root operation for liver biopsies, breast biopsies, and any other biopsy that involves removing a piece of tissue. In endometrial biopsy, a small part of tissue is removed from the endometrium. THE ONLY BODY PART THAT CAN BE TRANSPLANTED IN THE FEMALE REPRODUCTIVE SYSTEM IS THE ? ... biopsy procedures are coded using the root operations? the root operation "Irrigation" of indwelling device in the Administration section. THE PRIMARY REPRODUCTIVE ORGAN IN THE FEMALE IS THE? I have altered the operation performed. INSTRUMENT PLACED IN THE VAGINA TO SUPPORT THE UTERUS OR RECTUM OR AS A CONTRACEPTIVE DEVICE. Case 66 Operative Report PREOPERATIVE DIAGNOSIS: Menometrorrhagia. STERILIZATION ACCOMPLISHED BY BURNING THE FALLOPIAN TUBES WITH ELECTOCAUTERY IS CODED TO ROOT OPERATION? By Kathy DeVault, RHIA, CCS. Note that there are separate body part values for both the bronchus and lung by lobe. The tissue on those slides would be stained at the very least with the H and E stain I described in the article. Removal of a blood clot in the right leg that had been treated by thrombolysis is coded to which root operation(s)? The objective of procedures coded to the root operation Replacement is to put in a device that takes the place of some or all of a body part and includes taking out the patient’s natural body part. Some types of operations may be too risky to perform laparoscopically, while in others it is not clear that laparoscopy yields results as good as those by laparotomy. A HYSTERSCOPY, PERFORMED WITHOUT ANY ADDITIONAL PROCEDURES, IS CODED TO ROOT OPERATION _______, AND AN APPROACH VALUE OF ____. are performed to reinforce fragile bones that have a potential for fracture. Source: Centers for Medicare and Medicaid Services. answer. Search. If both biopsy and root operation is performed code for both. By Kathryn DeVault, RHIA, CCS, CCS-P. Editor's note: This is the seventh in a series of 10 articles discussing the 31 root operations of ICD-10-PCS. An endometrial biopsy is the removal of a small piece of tissue from the endometrium, which is the lining of the uterus. COLPORRHAPHY IS CODED USING ROOT OPERATION? Endometrial biopsy cabe performed in the office of a doctor. OVARIES, UTERINE SUPPORTING STRUCTURES, FALLOPIAN TUBES, UTERUS, ENDOMETRIUM, CERVIX, CUL-DE-SAC, VAGINA, CLITORIS, HYMEN, VESTIBULAR GLANDS, VULVA, AND OVA. a. Fragmentation b. Understanding the rules You have plenty of company if you find it daunting to correctly interpret the annually changing Drainage. 2 4. ... Endometrial biopsy or uterine curettage are performed. Fine needle aspiration biopsy of lung. An endometrial biopsy is a way for your doctor to check for problems in your uterus. In the ICD-10-PCS root operation table 302, there is no single substance value for fresh frozen plasma. If both the Drainage and Extirpation when performed together on the bronchi, Destruction - treat severe asthma and is performed using a special radiofrequency, Marsupialization procedure is performed on cysts in the pharynx and salivary glands, Resection- because each lob is the body part. Vertebral 07DS #8. an endometrial biopsy, however, you might be uncertain about how to report the encounter. This can be challenging for coders when trying to determine the appropriate root operation (objective of procedure) to use. Examples: Fine needle aspiration biopsy of fluid in the lung is coded to the root operation Drainage with the qualifier Diagnostic. Cutting of the sternocleidomastoid tendon. Bypass- The surgeon bypasses the trabecular meshwork of the eye by placing a synthetic shunt from the anterior chamber to the sclera of the eye, relieving intraocular pressure and treating the glaucoma. Uterus: 200 grams. draining the cyst and then excising the cystic sac in the bartholin’s gland. 72. Dysfunctional uterine bleeding. With that in mind I have never heard of a situation in which an endometrial biopsy was not sent from the grossing table through processing, being embedded in paraffin, and cut into sections on a microtome. OPERATION PERFORMED: Vaginal hysterectomy. SUPRACERVICAL HYSTERECTOMY, ONLY THE UTERUS IS REMOVED, CERVIX STAYS INTACT. marsupilization. ... To read the full article, sign in and subscribe to AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS . Bone Marrow. Coding Root Operations with ICD-10-PCS: Understanding Bypass, Inspection, and Map. drainage extraction excision. Case Rate Professional Fee Health Care Institution … extraction. coded based on the root operation that is performed - Insertion, Reposition, is coded to the root operation "Immobilization in the Placement section. procedures performed following a delivery or abortion for curettage of the endometrium or … DRAINING THE CYST AND THEN EXCISING THE CYSTIC SAC IN THE BARTHOLIN'S GLAND. Biopsy followed by more definitive treatment . answer. The root operation Dilation is coded when the objective of the procedure is to enlarge the diameter of a tubular body part or orifice. Extraction. Transcript Kuehn Nelken Cardiovascular Coding Cardiovascular Coding with ICD-10-PCS Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Kuehn Consulting, LLC Waukesha, WI 53186 (262) 574-1064 l [email protected] 1 Our Topics Today…. Create. is a nondisplaced fracture - coded "Supplement", is performed when the fracture is displaced, is performed to realigh the body by making a V-shaped incision, "Replacement" of half (Femoral Half or Acetabular Half) of the joint, Diversion of urine to allow healing an undiversion procedure may be performed to restore the normal path of urine, bladder or the urethra is suspended by the use of "mesh" or other synthetic material, Drainage - because the intent of the procedure it to drain the bladder, irrigation of percutaneous nephrostomy tube is coded to. marsupilization. Editor’s note: This article is the sixth in a series of 10 articles discussing the 31 root operations of ICD-10-PCS. root operation Alteration is coded. ROOT OPERATION USED TO CODE ENDOMETRIAL ABLATION PROCEDURES. WHAT ROOT OPERATION IS CODED WHEN AN ENDOMETRIAL BIOPSY OR UTERINE CURETTAGE ARE PERFORMED? The procedure can be perfor… This open procedure was performed to "Release" torticollis on the right side of the neck. What is the appropriate procedure code assignment for an endometrial biopsy performed via a Pipelle endometrial suction curette? We will select a root operation in ICD-10-PCS based on the intent of the procedure. question. ICD-10-PCS Root Operation Groups, Part 3. BAL is a liquid biopsy so is coded to root operation "drainage" and is assigned to body part “lung” since the alveoli are drained and are considered part of the lung, not bronchus. B3.4b . ... Hobo Code: The Signs and Symbols Used by Travelers of Old. Esophageal biopsy by EGD c. Endometrial biopsy via D&C d. Needle core biopsy of the left breast 7. Question 1 1 / 1 pts (CO 1) Sterilization accomplished by sutures, clips, or rings on the fallopian tubes is coded as which root operation? question. Coding Root Operations with ICD-10-PCS: Understanding Change, Replacement, and Revision. SUBTOTAL HYSTERCTOMIES ARE CODED USING ROOT OPERATION? As long as distinct services are performed and documented, it is appropriate to report both CPT codes using the –25 modifier for the … answer. marsupilization. Examples: Fine needle aspiration biopsy of lung is coded to the root operation Drainage with the qualifier Diagnostic. Root Operations That Alter the Diameter/Route of a Tubular Body Part and That Define Other Repairs. The medical and surgical procedure section of ICD-10-PCS contains most, but not all, procedures typically coded and reported in the hospital inpatient setting. Biopsy procedures are coded using the root operations Excision, Extraction, or Drainage and the qualifier Diagnostic. The organization of ICD-10 Essentials: Operation PCS follows the format of ICD-10-PCS Official Guidelines for Coding and Reporting 2017. The answer is, it depends. The patient was seen for heavy cycle bleeding, hemorrhages. Restriction- is used to restrict the ureteral opening and prevent reflux of the urine back flow. The focus of this coding tip is on the excision vs. resection ICD-10-PCS coding. UTEROPEXY, COLPOPEXY CODED USING ROOT OPERATION? Which type of biopsy is not coded as an Excision? PRODUCE GAMETE CELLS, CALLED EGGS OR OVA. The definition for the Drainage root operation provided in the 2013 ICD-10-PCS Reference Manual is “Taking or letting out fluids and/or gases from a body part.” Drainage is coded for both diagnostic and therapeutic drainage procedures. Table 3 outlines the seven root operations, their character values, and their definitions. The qualifier Diagnostic is used only for biopsies. extraction. Removal of a blood clot in the right leg that had been treated by thrombolysis is coded to which root operation(s)? The qualifier Diagnostic is used only for biopsies. The addition of the term “fluid” helps to clear up many questions that coders have had in the past year since ICD-10-PCS was implemented. Diagnostic or therapeutic dilation and curettage performed during times other than the postpartum or post-abortion period are all coded in the Medical and Surgical section, to the root operation Extraction and the body part Endometrium. ______ MAY BE CODED IF THE METHOD USED IS THE COMPLETE REMOVAL OF THE FALLOPIAN TUBES. Code 57461 is LEEP performed with a colposcopy, but a colposcopy was not performed in this case. Click to see full answer Likewise, people ask, what is the CPT code for dilation and curettage? LIST OF PROCEDURE CASE RATES FIRST CASE RATE Page 1 of 98. Biopsy of bone marrow is coded to the root operation Uncontrolled bleeding hormonally and negative endometrial biopsy. Bone marrow biopsies are not coded to the root operation Excision, they are coded to the root operation Extraction, with the qualifier Diagnostic (ICD-10-PCS Reference Manual, p. 36).. Index Excerpt: Extraction. Assign ICD-10-PCS procedure codes to the following: A patient undergoes bronchoscopy. FLUID REPLACED: 1,000 cc. 1. Root operation descriptions present the full definition of root operations in the Medical and Surgical section, including explanation and examples. Unilateral Negative -BI-RADS 1 58558 Hysteroscopy with endometrial biopsy 88305 88307 88331 88332 ... Retrieve Content. For each of the following descriptions, identify the root operation … Learn vocabulary, terms, and more with flashcards, games, and other study tools. There is no official ICD-10-PCS guideline to address this issue; the only guideline that even comes close is guideline B3.2/multiple procedures: “During the same operative episode, multiple procedures are coded if the same root operation is performed on different body parts, … The root operations for each of these sections do vary, however the main idea is the same: The root operation identifies the objective of the procedure. Explanation Of The Essure Procedure - Birth Control Methods If they are, you will no longer have to use another birth control method. Uncontrolled bleeding hormonally and negative endometrial biopsy. biopsy procedures are coded using the root operations? • Needle biopsy of bone marrow of the iliac crest: 07DR3ZX • Bone marrow biopsy is coded to the root operation Extraction because the objective of the procedures is to pull out a portion of the bone marrow • Nonexcisional (Versajet) debridement of left foot due to … The root operation is the critical factor to making the correct code assignment. Click to see full answer. Biopsy of bone marrow is coded to the root operation Extraction with the qualifier Diagnostic. There will be a review of using modifier 25, and when to report both an E/M and a procedure, and when to report only the procedure. The body part may have been taken out during a previous procedure but is not taken out as part of the supplement procedure. Transurethral resection of the prostate (TURP), is the destruction of some, or all of the prostate, can be replaced with a synthetic substitute, Placement of bilateral testicular prostheses, Reversal of a previous tubal ligation procedure is called tubotubal anastomosis, is the operation of suturing the pelvic fascia surrounding the vagina - Repair, is a procedure performed to surgically close the vaginal canal- Occlusion, cervical conization also called cold knife cone biopsy, is used to treat very early stages of cervical cancer- Excision, Endometrial biopsy or uterine curettage are performed, Transplantation of the ovary left or right, Laparoscopic lysis of intrauterine synechiae, is a congenital anomaly of the placement of the urethral opening - Reposition, is the removal of both the uterus and the cervix - Resection, also called "supracervical" hysterectomy, means that only the uterus is removed and the cervix remains intact - Resection, Total abdominal hysterectomy with a bilateral salpingo-oophorectomy, If a renal transplant is rejected, later removal of the transplanted kidney is to the root operation, All three ossicles (the malleus, Incus, and Stapes) are removed, Removal of a metallic sliver from the right sclera, Stapes mobilization, lef ear for otosclerotic deafness, Placement of bilateral duct plugs via the lacrimal puncta for dry eye, Placement of a synthetic shunt from the anterior chamber of the left eye. Biopsies are coded to the root operations excision, extraction, or drainage (with the qualifier diagnostic). Scalpel; Wire; Scissors; Bone saw; Electrocautery tip; Coding note: Bone marrow and endometrial biopsies Bone marrow and endometrial biopsies are not coded to the root operation EXCISION. In some instances,a surgical wound is not closed at the time of a surgical operation and is allowed to heal and will be closed at a later date.This would be an example of when a ____ would be coded. You've reached the end of your free preview. The objective of procedures coded to the supplement root operation is to put in a device that reinforces or augments the functions of some or all of a body part. Inspection. The patient was admitted for an open removal of the left lobe of the liver due to metastasis from a colon carcinoma. The ICD-10 Procedure Coding System (ICD-10-PCS) is an international system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification … A)closure B)bilateral procedure C)biopsy D)limited coverage what root operation is coded when an endometrial biopsy or uterine curettage are performed? Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single or multiple lesion 3,640 840 2,800 11300 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; ... RVS CODE DESCRIPTION ANNEX 2. THE VULVA IS A COMBINATION OF INTERNAL FEMALE REPRODUCTIVE BODY PARTS? The four-year-old, admitted for workup for potential leukemia, has a bone marrow biopsy with the sample taken percutaneously from the right hip bone. draining the cyst and then excising the cystic sac in the bartholin’s gland. Diagnostic dilation and curettage was originally intended to detect intrauterine endometrial abnormalities and assist in the management of abnormal bleeding. The definition for the root operation Transfer provided in the 2014 ICD-10-PCS Reference Manual is, "Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part." Iliac 07DR. We would use root operation Excision because Dr. Sharpe’s intent is to cutting out, without replacement, a portion of a body part. By Joel … what root operation is coded when an endometrial biopsy or uterine curettage are performed? The patient was bleeding to the point where she was flooding and tampons were "just washed out." • CC, Third Quarter 2016 states: The root operation for ileostomy takedown is "Excision," because part of the ileum is removed. Root operations that take out some/all of a body part 2. what root operation is coded when an endometrial biopsy or uterine curettage are performed? A root operation description is shown Root Operation 9: Drainage. The remainder of the exam was unremarkable. AND BODY PART? Biopsy can be performed via different methods. Root Operation ICD-10-PCS Code 5. Since there was no mention of the ovaries being removed, this was not a total hysterectomy. Tip No. This patient had an ablation of the peritoneal cavity as an adjunct to a radical pelvic debulking. CERVICAL CERCLAGE PROCEDURE IS CODED USING? There are very specific definitions for each of the root operations - you can see that there are 31 different root operations found in the Medica… When only fluid is removed during a needle aspiration biopsy, the root operation would be “drainage”. Biopsy of bone marrow. Partial nephrectomy, liver biopsy ... puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Examples: Fine needle aspiration biopsy of lung is coded to the root operation Drainage with the qualifier Diagnostic. The first step of diagnostic hysteroscopy often involves slightly stretching the canal of the cervix with a series of dilators to temporarily increase the … Dysfunctional uterine bleeding. BIOPSY PROCEDURES ARE CODED USING THE ROOT OPERATIONS? a. Fragmentation b. Destruction c. Fragmentation and Extirpation d. Extirpation 8. Release - Approach External because oral cavity is visible. IF FERTILIZATION OCCURS, THE EGG IS CLASSIFIED? Creation: Root Operation 4. SMALL CONE SHAPED SAMPLE OF TISSUE IS REMOVED FROM THE CERVIX AND EXAMINED. 26. Removal of a blood clot in the right leg that had been treated by thrombolysis is coded to which root operation(s)? The 31 root operations are arranged into the following groupings: 1. The characters are defined as follows: 0 – Medical and Surgical (section) U – Female Reproductive System (body system) D – Extraction (root operation) B – Endometrium (body part) 7 – Via Natural or Artificial Opening (approach) Z – No Device (device) We cannot expect the medical staff to change the language of medicine, ... liver biopsy, excision of ... laparoscopy with excision of endometrial implant from left ovary, sigmoidoscopy with polypectomy, etc. Root operation: Resection and excision ICD-10-PCS code: 07B10ZX, OGBK0ZZ 12. a patient has an open biopsy of the axillary sentimental node of the right side. Endoscopic stenting of trachea and right main bronchus, Tunneled Catheters (Broviac, Hickman, and Quinton), 02HV33Z - Insertion, Heart and Great Vessells body part Superior Vena Cava, 02HV33Z - Insertion, Heart and Great Vessells, 06H033Z - Insertion of Infusion Device into Inferior Vena Cava, approach 3, If any device placed on or within the body is removed and replaced a new deviced, "Creation" is use in the circulatory systems, Embolization of a cerebral aneurysm - CG B3.12, only available in Circulatory system and Nervous system, done during open heart surgery or during heart catheterization procedure, code under Measurement and Monitoring section, Dilation - the procedure is widen the narrowed or obstucted blood vessel, Angioplasty of two distinct arteries with placement of two stens, Dilation - coronary arteries, two arteries, Angioplasty of two distinct arteries, one with stent place and one without, Dilation - coronary artery, one artery with intraluminal device, Bypass - by pass starts in the "Arteries" and ends with the "Vein", Suture closure of patent ductus arteriosus, Colostomy or Ileostomy procedure- rerouted to the outside of the body, Colostomy or Ileostomy procedure- take down of the colostomey or ileostomy, 2 codes- Bypass, body part intestine and abdominal wall, Putting in autologous or nonautologous bone marrow, pancreatic islet cells, or stem cells is coded. It is performed with the endometrial biopsy depending on the symptoms appearing in patient. Materials such as sutures, ligatures, radiological markers and temporary post-operative wound drains are considered integral to the performance of a procedure and are not coded as devices. Examples: Fine needle aspiration biopsy of lung is coded to the root operation Drainage with the qualifier Diagnostic. STERILIZATION BY OCCLUDING FALLOPIAN TUBES BY SUTURES, CLIPS OR RINGS IS CODED TO ROOT OPERATION? #7. Colposcopy With Endometrial Biopsy CPT Code Colposcopy is the process of cell removal from the endometrium of uterus instead of cervix. The anastomosis is considered inherent to the surgery and not coded separately. ... or an endometrial biopsy may be performed to evaluate the uterus prior to hysteroscopy. B.Esophageal biopsy by EGD C.Endometrial biopsy via D&C D.Needle core biopsy of the left breast 7. ... biopsy procedures are coded using the root operations? By Angie Comfort, RHIT, CDIP, CCS. DIAGNOSTIC OR THERAPEUTIC DILATION AND CURRETAGE PERFORMED DURING TIMES OTHER THAN THE POST PARTUM OR POST ABORTION PERIOD ARE ALL CODED TO MED/SURG SECTION TO ROOT OPERATION? ... code 611.72 was associated with the E/M service on the claim form. All root operations that employ cutting to accomplish the objective allow the use of any sharp instrument, including but not limited to. Further, the root operation "Repair" would only be coded when a parastomal hernia is repaired. During this procedure a mechanical device was inserted into the mouth and larynx in order to dilate the stenosis. HIT 203 Homework 2 Understanding Root Operations Solution / International Classification of Diseases Coding I with Lab (TCO 3) When a patient has a Dilation and Curettage (D & C) procedure performed, the dilation must be performed first to gain access to the endometrium which can then be scraped, either for diagnostic or therapeutic purposes. Although you would like to report both services, perhaps you've heard that only the procedure should be billed. Lymph node sampling for biopsy is coded to the root operation Excision with the qualifier Diagnostic. Browse. The root operations in the Placement section include only procedures performed without making an incision or puncture. question. a. Percutaneous biopsy of the left deltoid muscle b. Esophageal biopsy by EGD c. Endometrial biopsy via D&C d. Needle core biopsy of the left breast 7. PROCEDURES PERFORMED FOLLOWING A DELIVERY OR ABORTION FOR CURETTAGE OF THE ENDOMETRIUM OR EVACUATION OF RETAINED PRODUCTS OF CONCEPTION ARE ALL CODED TO ROOT OPERATION? We have also broken out the different bronchopulmonary segments for each lung following the excerpt. After the webinar, participants will be able to: ... your gynecologist may order a cervical LEEP as a way to … REVERSAL OF A PREVIOUS TUBAL LIGATION IS CALLED TUBOTUBAL ANASTOMOSIS AND IS CODED WITH ROOT OPERATION? During a cervical biopsy a small amount of tissue is removed from your cervix. INDICATIONS: The patient is a 42-year-old white female gravida 3, para 3, with menstrual bleeding which had been extremely heavy over the last year. COLLECTIVELY INCLUDES THE EXTERNAL FEMALE GENITALIA OF THE MONS PUBIS, LABIA MAJORA, LABIA MINORA, CLITORIS, URETHRAL AND VAGINAL OPENINGS, AND THE VESTIBULAR GLANDS. TRANSPORT AND MAINTAIN THESE CELLS, NURTURE THE DEVELOPING OFFSPRING, AND TO PRODUCE HORMONES. CAN BE DONE USING LEEP METHOD. The ICD-10 Procedure Coding System (ICD-10-PCS) is an international system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9 … question. Root operations that take out solids/fluids/gasses from a body part 3. The definition for the root operation Creation in the 2014 ICD-10-PCS Reference Manual is, “Making a new genital structure that does not physically take the place of a body part.” Creation is used for procedures representing sex change operations. Biopsy of bone marrow is coded to the root operation Extraction with the qualifier Diagnostic. The root operation is Bypass because the shunt reroutes the fluid around the meshwork from the inside to the outside of the eye. Short description: Unsp abnormal cytolog findings in specmn from cervix uteri The 2021 edition of ICD-10-CM R87.619 became effective on October 1, 2020. TRUE OR FALSE? COMBINATION BODY PART VALUES, SUCH AS VAGINA AND CUL-DE-SAC CAN BE USED WITH WHICH ROOT OPERATION. VIA NATURAL OR ARTIFICIAL OPENINGS WITH PERCUTANEOUS ENDOSCOPIC ASSISTANCE IS ONLY USED WITH ROOT OPERATION ______, VIA NATURAL OR ARTIFICIAL OPENINGS WITH PERCUTANEOUS ENDOSCOPIC ASSISTANCE, SURGEON PLACES LAPAROSCOPIC PORTS AND VISUALIZING INSTRUMENTS THROUGH THE SKIN TO ASSIST WITH THE RESECTION OF BODY PARTS THAT ARE REMOVED VAGINALLY.