ICD-10 Medical and Surgical Section Root Operations

Definition Cutting out or off, without replacement, a portion of a body part Explanation The qualifier Diagnostic is used to identify excision procedures that are biopsies Examples Partial nephrectomy Liver biopsy

Definition Cutting out or off, without replacement, all of a body part Examples Total nephrectomy Total lobectomy of lung

Definition Pulling or stripping out or off all or a portion of a body part by the use of force Explanation The qualifier Diagnostic is used to identify extraction procedures that are biopsies Examples Dilation and curettage, Vein stripping

Definition Physical eradication of all or a portion of a body part by the direct use of energy, force or a destructive agent Explanation None of the body part is physically taken out Examples Fulguration of rectal polyp Cautery of skin lesion

Definition Cutting off all or part of the upper or lower extremities Explanation 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 Examples Below knee amputation Disarticulation of shoulder

Definition 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 Explanation 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 Examples Kidney transplant Heart transplant

Definition Putting back in or on all or a portion of a separated body part to its normal location or other suitable location Explanation Vascular circulation and nervous pathways may or may not be reestablished Examples Reattachment of hand Reattachment of avulsed kidney

Definition Moving to its normal location or other suitable location all or a portion of a body part Explanation 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 Examples Reposition of undescended testicle Fracture reduction

Definition 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 Explanation The body part transferred remains connected to its vascular and nervous supply Examples Tendon transfer Skin pedicle flap transfer

Definition Taking or letting out fluids and/or gases from a body part Explanation The qualifier Diagnostic is used to identify drainage procedures that are biopsies Examples Thoracentesis Incision and drainage

Definition Taking or cutting out solid matter from a body part Explanation The solid matter may be an abnormal byproduct of a biological function or a foreign body. The solid matter is imbedded in a body part, or is in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces. No appreciable amount of the body part is taken out Examples Thrombectomy Choledocholithotomy

Definition Breaking solid matter in a body part into pieces Explanation The solid matter may be an abnormal byproduct of a biological function or a foreign body. Physical force (e.g., manual, ultrasonic) applied directly or indirectly through intervening body parts is used to break the solid matter into pieces. The pieces of solid matter are not taken out, but are eliminated or absorbed through normal biological functions Examples Extracorporeal shockwave lithotripsy Transurethral lithotripsy

Definition Visually and/or manually exploring a body part Explanation Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or through intervening body layers Examples Diagnostic arthroscopy Exploratory laparotomy

Definition Locating the route of passage of electrical impulses and/or locating functional areas in a body part Explanation Applicable only to the cardiac conduction mechanism and the central nervous system Examples Cardiac mapping Cortical mapping

Definition Altering the route of passage of the contents of a tubular body part Explanation Rerouting contents around an area of a body part to another distal (downstream) area in the normal route; rerouting the contents to another different but similar route and body part; or to an abnormal route and another dissimilar body part. It includes one or more concurrent anastomoses with or without the use of a device such as autografts, tissue substitutes and synthetic substitutes Examples Coronary artery bypass Colostomy formation