X The Anatomical Regions, Upper Extremities body system is identified by the character “X” in the 2nd character position and grouped within the Medical and Surgical section of the ICD-10-PCS coding structure. The 2nd character of an ICD-10-PCS code defines the particular body system or general physiological system or anatomical region involved.
Section:
0 = Medical and Surgical
Body System:
0 - Central Nervous System & Cranial Nerves1 - Peripheral Nervous System2 - Heart & Great Vessels3 - Upper Arteries4 - Lower Arteries5 - Upper Veins6 - Lower Veins7 - Lymphatic & Hemic Systems8 - Eye9 - Ear, Nose, SinusB - Respiratory SystemC - Mouth & ThroatD - Gastrointestinal SystemF - Hepatobiliary System & PancreasG - Endocrine SystemH - Skin & BreastJ - Subcutaneous Tissue & FasciaK - MusclesL - TendonsM - Bursae & LigamentsN - Head & Facial BonesP - Upper BonesQ - Lower BonesR - Upper JointsS - Lower JointsT - Urinary SystemU - Female Reproductive SystemV - Male Reproductive SystemW - Anatomical Regions, GeneralX - Anatomical Regions, Upper ExtremitiesY - Anatomical Regions, Lower ExtremitiesThe 3rd character refers to the root operation or the objective of the procedure.
Anatomical Regions, Upper Extremities
Modifying the anatomic structure of a body part without affecting the function of the body part — Principal purpose is to improve appearance
Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane — All CHANGE procedures are coded using the approach EXTERNAL
Stopping, or attempting to stop, postprocedural or other acute bleeding
Cutting off all or a portion of the upper or lower extremities — The body part value is the site of the detachment, with a qualifier if applicable to further specify the level where the extremity was detached
Taking or letting out fluids and/or gases from a body part — The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Cutting out or off, without replacement, a portion of a body part — The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
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
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
Putting back in or on all or a portion of a separated body part to its normal location or other suitable location — Vascular circulation and nervous pathways may or may not be reestablished
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
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
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
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
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
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 — The body part transferred remains connected to its vascular and nervous supply
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