Administration Section with ICD-10-PCS (Chapter 31)

Sally had an autologous frozen plasma open transfusion via the central vein. This would be reported with code

30240K0

The percutaneous transfusion of nonautologous whole blood via the central vein would be reported with code

30243H1

The introduction of serum through the skin via an external approach is reported with code Answer

3E00X4Z

Code------ Answer is used to report the percutaneous introduction of a thrombolytic recombinant human-activated protein C substance via the central artery.

3E06316

Dr. Smith percutaneously introduced a contrast agent into the biliary and pancreatic tract of a patient to enhance imaging. The introduction of the contrast agent would be reported with code

3E0J3KZ

Question text Sally has been experiencing back pain that is caused by inflammation in the spinal area. Dr. Smith reports the following: percutaneous introduction of anti-inflammatory substance into the epidural space. This procedure would be reported with code

3E0S33Z

The diagnostic irrigation of skin and mucous membranes using irrigating substance via an external approach is reported with code Answer.

3E10X8X

A diagnostic irrigation of the nose using an irrigating substance via a percutaneous approach is reported with code _____.

3E1938X

Dr. Smith completed a percutaneous irrigation of the peritoneal cavity using dialysate. This would be reported with code

3E1M39Z

Code -----Answer reports a percutaneous irrigation of the left elbow joint.

3E1U38Z

In the Table 3E0, the character 4 value that represents products of conception is _____.

E

30233R1

Emergency Room NoteThis 64-year-old female patient is diagnosed with leukemia and presents today for a nonautologous transfusion of platelets due to a low platelet count. The transfusion was completed in the left arm in the peripheral vein percutaneously .The patient tolerated the procedure well and was told to follow-up with her physician in 4 days.

Platelets

Emergency Room NoteThis 64-year-old female patient is diagnosed with leukemia and presents today for a nonautologous transfusion of platelets due to a low platelet count. The transfusion was completed in the left arm in the peripheral vein percutaneously .The patient tolerated the procedure well and was told to follow-up with her physician in 4 days.

In Table 302, the 2 represents irrigation.

FALSE

In the code 3E0T3GC, the T represents bone marrow.

FALSE

Irrigation is defined in ICD-10-PCS as the putting in of blood or blood products.

FALSE

The second character value for the Administration section has three values: 0, C, and F.

FALSE

In ICD-10-PCS, ------Answer is defined as the putting in, or putting on, a cleansing substance.

IRRIGATION

In Table 3E0, the correct value for a substance of a destructive agent is _____.

T

A root operation value of 2 in the Administration section of ICD-10-PCS represents the root operation of transfusion.

TRUE

In the code 3E00XMZ, the M represents the substance introduced into the body.

TRUE

Placement of a catheter into an internal site is considered a type of percutaneous approach.

TRUE

In ICD-10-PCS, -------Answer is defined as the putting in of blood or blood products.

Transfusion

The first character used to identify the Administration section of ICD-10-PCS is 3

True

In the code 3E083JZ, the 8 represent ____

heart

3E0BXNZ

introduction of analgesics into ear, external approach

3E0BX3Z

introduction of anti-inflammatory into ear, external approach

3E043GN

introduction of blood brain barrier disruption substance into central vein, percutaneous approach

3E060VG

introduction of insulin into central artery, open approach

3E0C304

introduction of liquid brachytherapy radioisotope antineoplastic into eye, percutaneous approach

3E0DX04

introduction of liquid brachytherapy radioisotope into pharynx, external approach

3E0C70M

introduction of monoclonal antibody into eye via natural opening

3E0E70M

introduction of monoclonal antibody into products of conception, via artificial opening

3E00X28

introduction of oxazolidinones into skin and mucous membranes, external approach

3E063PZ

introduction of platelet inhibitor into central artery, percutaneous approach

3E0634Z

introduction of serum, toxoid, and vaccine into central artery, percutaneous approach

3E0D34Z

introduction of serum, toxoid, and vaccine into mouth, percutaneous approach

3C1ZX8Z

irrigation of indwelling device using irrigating substance, external approach

The fifth-character value in the Administrative section of ICD-10-PCS of 7 represents _____.

via natural or artificial opening

The root operation of introduction has a root operation value of

0

The second character value for the Administration section of ICD-10-PCS has a value of _____, which is used to report transfusion procedures.

0

transfusion

Answer the following questions after reading the following case study .Emergency Room NoteThis 64-year-old female patient is diagnosed with leukemia and presents today for a nonautologous transfusion of platelets due to a low platelet count. The transfusion was completed in the left arm in the peripheral vein percutaneously .The patient tolerated the procedure well and was told to follow-up with her physician in 4 days.

30233R1

Case 1 Transfusion Unit NoteThis 67-year-old female is diagnosed with leukemia and presents today for a nonautologous transfusion of platelets due to a low platelet count. The transfusion was completed in the left arm in a peripheral vein percutaneously. The patient tolerated the procedure well and was told to follow up with her physician in 4 days.ICD-10-PCS Code Assignment

3C1ZX8Z

Case 2 Skilled Nursing Care NoteThis 79-year-old male patient has an indwelling catheter, and today it was irrigated per standard nursing protocol. The catheter was cleansed with an irrigating substance.ICD-10-PCS Code Assignment:

3E1CX8Z

Case 3 This 9-year-old patient presents with an inflamed left eye. His mother states that he has gotten "something" in this eye and it has become irritated. His left eye is red and the conjunctiva is inflamed. I felt it best to irrigate the eye with ophthalmic irrigating solution. I also gave the patient a prescription for ophthalmic antibiotics. He is to follow up with me in 10 days or call if the eye becomes worse.ICD-10-PCS Code Assignment:

3E0S33Z

Case 4 This 20-year-old patient is a competitive college gymnast who has ongoing pain in her lower back due to inflammation. She presents today for an epidural injection of an anti-inflammatory in the sacral area.ICD-10-PCS Code Assignment:

3E1U38Z

Case 5 Ambulatory Surgery NoteThis patient has had ongoing concerns in her left elbow joint. This patient presents today for a percutaneous irrigation of the left elbow joint. The joint was irrigated, there were no complications, and the patient was instructed to return to my office in 1 week.ICD-10-PCS Code Assignment:

30240G0

transfusion of autologous bone marrow into central vein, open approach

30230Y0

transfusion of autologous hematopoietic stem cells into peripheral vein, open approach

30230AZ

transfusion of embryonic stem cells into peripheral vein, open approach

30277V1

transfusion of nonautologous antihemophiliac factors into products of conception, circulatory, via natural or artificial opening

30230K1

transfusion of nonautologous frozen plasma into peripheral vein, open approach

30233P1

transfusion of nonautologous frozen red cells into peripheral vein, percutaneous approach

30230R1

transfusion of nonautologous platelets into peripheral vein, open approach