ICD-10-PCS code structure

Section:
  0 = Medical and Surgical

Body System:

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See Terms used in Medical and Surgical

The 3^rd character refers to the root operation or the objective of the procedure.

Heart and Great Vessels

• 021 - Bypass

  Altering the route of passage of the contents of a tubular body part — Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

• 024 - Creation

  Putting in or on biological or synthetic material to form a new body part that to the extent possible replicates the anatomic structure or function of an absent body part — Used for gender reassignment surgery and corrective procedures in individuals with congenital anomalies

• 025 - Destruction

  Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent — None of the body part is physically taken out

• 027 - Dilation

  Expanding an orifice or the lumen of a tubular body part — The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using intraluminal pressure or by cutting part of the orifice or wall of the tubular body part

• 028 - Division

  Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part — All or a portion of the body part is separated into two or more portions

• 02B - Excision

  Cutting out or off, without replacement, a portion of a body part — The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies

• 02C - Extirpation

  Taking or cutting out solid matter from a body part — The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces

• 02F - Fragmentation

  Breaking solid matter in a body part into pieces — Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out

• 02H - Insertion

  Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

• 02J - Inspection

  Visually and/or manually exploring a body part — Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or through intervening body layers

• 02K - Map

  Locating the route of passage of electrical impulses and/or locating functional areas in a body part — Applicable only to the cardiac conduction mechanism and the central nervous system

• 02L - Occlusion

  Completely closing an orifice or the lumen of a tubular body part — The orifice can be a natural orifice or an artificially created orifice

• 02N - Release

  Freeing a body part from an abnormal physical constraint by cutting or by the use of force — Some of the restraining tissue may be taken out but none of the body part is taken out

• 02P - Removal

  Taking out or off a device from a body part — If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

• 02Q - Repair

  Restoring, to the extent possible, a body part to its normal anatomic structure and function — Used only when the method to accomplish the repair is not one of the other root operations

• 02R - Replacement

  Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part — The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

• 02S - Reposition

  Moving to its normal location, or other suitable location, all or a portion of a body part — The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location

• 02T - Resection

  Cutting out or off, without replacement, all of a body part

• 02V - Restriction

  Partially closing an orifice or the lumen of a tubular body part — The orifice can be a natural orifice or an artificially created orifice

• 02W - Revision

  Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device — Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

• 02U - Supplement

  Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part — The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

• 02Y - Transplantation

  Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or function of all or a portion of a similar body part — The native body part may or may not be taken out, and the transplanted body part may take over all or a portion of its function