Drainage- One of the icd 10 pcs root operations

We all know that icd 10 pcs root operations plays a vital role in choosing the correct ICD 10 PCS code for any procedure. There are many root operations, which we will come across while selecting the procedure code. However, if you know each of these root operations you will always select the correct one. As I have already shared an article for ‘DILATION’ root operation, here we will learn more about one more icd 10 pcs root operations ‘DRAINAGE’. This root operation comes in-group, which has little similarities with ‘Extirpation’ and ‘Fragmentation’. Therefore, if you know the difference between these root operations you will never end up choosing wrong ICD 10 PCS code.

icd 10 pcs root operations: Drainage

Now, Drainage can be get confused with Extirpation and Fragmentation. Drainage which is one of the icd 10 pcs root operations, is used only with there is removal or taking or letting of fluids or gases from the body. While Extirpation is used mainly for removal of, Solid matters. The root operation Drainage is used both in diagnostic and therapeutic procedures.  For Fragmentation, a physical force like manual or ultrasonic can be used to break the solid matter into pieces either directly or indirectly. Hope, now we are clear about the use of Root operation Drainage. So, now let us check how it used in Inpatient coding with the use of below sample-coded report.

Sample Chart for Root Operation Drainage

RAD/DG HIP ASPIRATION/INJ
INDICATION:
Right hip joint effusion on recent MRI

EXAM:
ARTHROCENTESIS OF LARGE JOINT- right hip

COMPARISON:  None.

CONTRAST:  One CC Isovue 370

FLUOROSCOPY TIME:  32 seconds

COMPLICATIONS:
None immediate

PROCEDURE:
Informed written consent was obtained from the patient’s family after discussion of the risks, benefits and alternatives to treatment. The patient was placed supine on the fluoroscopy table and the right extremity was placed in a slight degree of flexion and
internal rotation. The right hip was localized with fluoroscopy. The skin overlying the anterior aspect of the hip was prepped and draped in usual sterile fashion. A 20 gauge spinal needle was advanced into the hip joint at the lateral aspect of the femoral head-neck junction, after the overlying soft tissues were anesthetized with 1% lidocaine. Contrast injection confirms appropriate positioning within the hip joint. A fluoroscopic image was saved and sent to PACS.

Aspiration of the joint yielded no significant fluid. A small amount of saline was injected into the joint space however; no fluid could be aspirated from the joint. The needle was removed and a dressing was placed. The patient tolerated procedure well without immediate postprocedural complication.

IMPRESSION:
Aspiration of the right hip joint yielded no fluid. Joint lavage was performed however no significant fluid returned from the joint.

ICD 10 PCS code

0S993ZX

Section – Medical and Surgical (0)

Body system – Lower joints (S)

Operation – Drainage (taking or letting out fluids and/or gases from a body part) (9)

Body part– Hip joint, right (9)

Approach– Percutaneous (3)

Device – NO device (Z)

Qualifier– Diagnostic (Z)