Check your Understanding. 2.Detachment of the third finger of the left hand at the proximal phalanx would be coded with which HEIT 215 Check your Understanding. 2.Detachment of the third finger of the left hand at the proximal phalanx would be coded with which qualifier? a) 0Complete b) 1-High c) 2Mid d) 3Low 4.Which of the following is the root operation that involves pulling out some or all of a body part using force? a) Detachment b) Extraction c) Fragmentation d) Destruction 6.Which type of biopsy is not coded as an Excision? a) Percutaneous biopsy of the left deltoid muscle b) Esophageal biopsy by EGD c) Endometrial biopsy via D& C d) Needle core biopsy of the left breast 8. Th is patient had an ablation of the peritoneal cavity as an adiunct to a radical pelvic debulking. What root operation is used for the ablation? a) Excision b) Resection c) Destruction d) Extraction 10. Body tissue is removed for biopsy via fine needle aspiration. "What root operation is used? a- Drainage b. Excision c Extraction. D, Resection.

Which Root Operation Is It? 2 The inpatient is being evaluated for septic arthritis of the knee. A diagnostic needle was performed on the right side, and the fluid was evaluated in pathology. What is the root operation? What is the ICD-10-PCS Code? 4. This patient has a craniectomy with removal of a malignant brain tumor of the cerebral hemisphere. What is the root operation? What is the ICD-10-PCS code? 6. A 49-Year-old morbidly obese patient is admitted for a vertical sleeve gastrectomy for weight loss, the greater curvature of the stomach is removed laparoscopically. What is the root operation? What is the ICD-10-PCS Code? 8. The patient sustained an injury working on his farm, using a hay baler. Due to the unsustainability of the limb? An amputation of the left arm is performed at the mid-shaft of the humerus. What is the root operation? What is the ICD-10-PCS Code? 10. A patient with thyroid carcinoma has an open removal of the thyroid gland. Samples of lymph nodes on the right side of the neck are removed for biopsy. What is the root operation? What is the ICD-10-PCS code? 12. A patient has an open biopsy of the axillary sentinel node on the right side. What is the root operation? What is the ICD- 10-PCS Code? Case Studies Operative Report PREOPERATIVE DIAGNOSIS: Right proximal ureteral calculi POSTOPERATIVE DIAGNOSIS: Right Proximal ureteral calculi OPERATIONS PERFORMED- 1. Cystoscopy. 2. Right ureteroscopy. 3. Laser lithotripsy of ureteral stones and Basketing stone fragments.

4. Placement of doubled J-stent. Anesthesia: General Indication: The patient is a 59-year-oId male with a history of stone disease, who has severe right flank pain and was found to have an obstructing large right proximal ureteral stone. DESCRIPTION of OPERATION: After induction of general anesthesia, the patient was placed in the lithotomy position. Genitalia were prepped and draped in the usual sterile fashion. A #21- French cystoscope was inserted under camera vision. The urethra was unremarkable, prostate revealed early benign. BPH, nonobstructive in nature. The scope was passed into the bladder. The bladder mucosa was normal throughout. Under fluoroscopic control, a guidewire was placed up the right ureter and bypassed the stone. This was difficult at first, but the guide wire was eventually manipulated around the stone into the proximal collecting system. A rigid ureteroscope was then negotiated up the right ureter alongside the guidewire up to the stone, which was at approximately the junction of the upper third and the middle two-thirds of the ureter. The stone was quite large and occupied the entire lumen of the ureter. Laser lithotripsy was then performed under camera vision. Using the Holmium laser, the stone was fragmented into multiple fragments, all of which were then individually basketed. Some of the stones were sent for analysis. Further ureteroscopy up to the kidney failed to reveal any significant sized fragments. Therefore, the ureteroscope was removed and a 24 cm length, #6 French diameter double J stent was negotiated over the guidewire into the ureter and the guidewire was removed. The stent was seen curled in good position on cystoscopy. The procedure was well tolerated by the patient without complications. The patient was taken to the recovery room in stable condition. Assign the correct PCS code (s): 4. Placement of doubled J-stent. Anesthesia: General Indication: The patient is a 59-year-oId male with a history of stone disease, who has severe right flank pain and was found to have an obstructing large right proximal ureteral stone. DESCRIPTION of OPERATION: After induction of general anesthesia, the patient was placed in the lithotomy position. Genitalia were prepped and draped in the usual sterile fashion. A #21- French cystoscope was inserted under camera vision. The urethra was unremarkable, prostate revealed early benign. BPH, nonobstructive in nature. The scope was passed into the bladder. The bladder mucosa was normal throughout. Under fluoroscopic control, a guidewire was placed up the right ureter and bypassed the stone. This was difficult at first, but the guide wire was eventually manipulated around the stone into the proximal collecting system. A rigid ureteroscope was then negotiated up the right ureter alongside the guidewire up to the stone, which was at approximately the junction of the upper third and the middle two-thirds of the ureter. The stone was quite large and occupied the entire lumen of the ureter. Laser lithotripsy was then performed under camera vision. Using the Holmium laser, the stone was fragmented into multiple fragments, all of which were then individually basketed. Some of the stones were sent for analysis. Further ureteroscopy up to the kidney failed to reveal any significant sized fragments. Therefore, the ureteroscope was removed and a 24 cm length, #6 French diameter double J stent was negotiated over the guidewire into the ureter and the guidewire was removed. The stent was seen curled in good position on cystoscopy. The procedure was well tolerated by the patient without complications. The patient was taken to the recovery room in stable condition. Assign the correct PCS code (s):