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Taking or cutting out solid matter from a body part. |
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Section, Body System, Root Operation, Body Part/Region, Approach, Device, Qualifier |
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Cut out or off, WITHOUT replacement, a PORTION of a body part. Example Partial nephrectomy, liver biopsy. |
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Cutting out or off, WITHOUT replacement ALL of a body part: Example Total nephrectomy, total lobectomy of the lung. |
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Cutting off ALL or PART of the upper or lower extremities. Example BKA, disarticulation of shoulder, amputation above elbow |
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Physical ERADICATION of ALL or a PORTION of a body part by direct use of energy, force or a destructive agent. Example: Fulguration of rectal polyp, cautery of skin lesion, fulguration of endometrium |
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Pulling or Stripping out ALL or a PORTION of a body part. Example: D&C and vein stripping. |
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Taking or letting out fluids and/or gasses from a body part. Example Thoracentesis, incision and drainage |
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Breaking solid matter in a body part into pieces. Example: ESWL, transurethral lithotripsy |
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Cutting into a body part WITHOUT draining fluids and/or gases from the body part in order to separate or transect a body part. Example: Spinal Cordotomy, osteotomy, neurotomy |
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Freeing a body part. Example - adhesiolysis, carpal tunnel release |
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Putting in/on all or portion of living body part taken from another individual/animal to physically take the place and/or function of all or a portion of a similar part. Example: Kidney transplant, heart transplant |
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Putting back in or on all or a portion of a separated body part to its normal location or other suitale location. Example- Reattachment of hand, reattachment of abulsed kidney |
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Moving, WITHOUT taking out, all/portion of body part to other location to take over functions of all/portion of body part. Example: Tendontransfer, skin pedicle flap transfer |
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Moving to its normal location or other location all or a portion of a body part. Example - Reposition of undescended testicle, fracture reduction |
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PARTIALLY closing the orifice or lumen of a tabular body part. Example: Esophagogastric fundoplication, cervical cerclage |
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COMPLETELY closing an orifice or lumen of a tubular body part. Example Fallopian tube ligation, ligation of inferior vena cava |
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Expanding an orifice or the lumen of a TUBULAR body part. Example: PTCA, pyloromyotomy |
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Altering rout of passage of the contents of a tubular body part. Example CABG, colostomy formation |
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Putting a NONBIOLOGICAL APPLIANCE that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part. Example: Insertion of radioactive implant, insertion of central venous catheter. |
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Putting in or on a biological or synthetic material that takes the place of all or a portion of a body part. Example Total hip replacement, free skin graft. |
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Putting in or on MATERIAL that PHYSICALLY REINFORCES and/or AUGMENTS the function of a portion of a body part. Example - Herniorrhaphy using mesh, heart valve annuloplasty. |
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Taking out or off a device from a body part and putting back an identical or similar device in or on the same part WITHOUT cutting or puncturing the skin or a mucous membrane. Example Urinary catheter change, gastrostomy tube change, drainage tube change. |
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Taking out or off a device from a body part. Example Drainage tube removal, cardiac pacemaker removal |
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Correctoin, to the extent possible, a malfunctioning/displaced device. Example - Adjustment o a pacemaker lead, adjustment of hip prosthesis |
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Visually and/or manually exploring a body part. Example - Diagnostic arthroscopy, exploratory laparotomy |
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Locating the rout of passage of electrical impulses and/or locating functional areas in a body part. Example - Cardiac mapping, cortical mapping. |
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Root operations that take out some or all of a body part. |
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Excision, Resection, Detachment, Destruction, Extraction |
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Root operations that take out solids/fluids/gases from a body part |
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Drainage, Extirpation, Fragmentation |
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Root operations involving cutting or separation only |
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Root operations that put in/put back or move some/all of a body part |
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Transplantation, Reattachment, Transfer, Reposition |
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Root operations that alter the diameter/route of a tubular body part |
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Restriction, Occlusion, Dilation, Bypass |
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Root operations that always involve a device |
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Insertion, Replacement, Supplement, Change, Removal, Revision |
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Root operations involving examination only. |
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Applicable only to the cardiac conduction mechanism and the central nervous system |
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Inspection Root Operation |
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Visual or manual exploration |
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Revision can include correcting a malfunctioning/displaced device by taking out or putting in components of device such as a screw or pin. |
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ALL change porcedures are coded using the approach "External" |
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Replacement Root Operation |
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If body part was previously replace, SEPARATE removal proedures is coded for taking out the device. |
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Orifice can be a natural orifice or artifically created. Accomplished by stretching a tubular part using intraluminal pressure or by cutting part of the orifice or wall of the tubular body part. |
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Reposition Root Operation |
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The body part is moved to a new location from an aberrant one or from a normal location where it is not functioning. The part may or may not be cut out or off to be moved. |
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Body part transferred remains connected to its vascular and nervous supply |
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Reattachment Root Operation |
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Vascular circulation & nervous pathways may/may not be restablished. |
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Eliminating an abnormal constraint of a body part by cutting or by use of force. Some restraining tissue may be taken out but NONE of the body part is taken out. |
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All or a portion of the body part is separated into two or more portions. |
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Extirpation Root Operation |
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Solid matter may be abnormal byproduct of a biological function/foreign body. Solid matter is imedded in a body part or is a lumen of a tubular part. Solid matter may/may not have been previoulsy broken into pieces. no appreciable amount of the part is taken out. |
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Partially closing orifice/lumen |
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Taking/cutting out solid matter |
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Fulguration of rectal polyps |
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Inspection Root Operation |
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breakdown red blood cells |
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Blood clot adhering to the wall of a blood vessel or organ. |
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surgical immobilization of a joint |
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Bending movement that decreases the angle between two parts |
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Uppermost portion of the lung |
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condition of producing, forming |
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liver, gallbladder, pancreas, small intestine and large intestine |
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Left lob of liver, stomach, spleen, part of pancreas, parts of small and large intestine. |
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small and large intestines, right ovary, right fallopian tube, APPENIX, right ureter |
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small and large intestine, left ovary, left fallopian tube, left ureter. |
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Cranial, thoracic, Abdominal, Pelvic, Spinal |
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Hypochondriac (L&R), Epigastric, Hypogastric, Inguinal (L&R), Umbilical, Lumbar (L&R) |
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Brain and pituitary gland |
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Lungs, heart, esophagus, bronchial tubes, thymus gland, aorta |
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Stomach, small & large intestine, spleen, pancreas, liver & gallbladder. |
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Small & Large intestines, rectum, urinary bladder, urethra, ureters. |
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Cervical, thoracic, lumbar, sacral, coccygeal |
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