HIT 212- Root Operations

Excision

Cutting out or off without replacement a portion of a body part(with sharp tools)

Ex: biopsy, cyst, lesions

Resection

Cutting out or off, without replacement, all of a body part

Ex: lungs, lobes, intestines

Detachment

Cutting off all or a portion of the upper or lower extremities

Ex: amputations, forequarter, hindquarter, rays, complete, partial

Destruction

Physical eradication of all or a portion of a body part by the direct use of energy force or a destructive agent. No biopsy.

Ex:ablation, coblation, cryosurgery, electrosurgery, coagulation.

Extraction

Pulling or stripping out or off all or a portion of a body part with force(no cutting)

ex: suction, tooth, stripping veins, dilation and curettage, bone marrow, and endometrial biopsies, nonexcisional debridement.

Drainage

Taking or letting out fluids and/or gases from a body part

ex: thoracentesis

Extirpation

Taking or cutting out solid matter from a body part.

Ex: thromectomy, foreign body,

Fragmentation

Breaking solid matter into pieces(not taking out)

Ex: Shockwave, lithotripsy, ultrasound

Division

Cutting into a body part without draining to separate or transect a body part(separate, cut)

Ex: rhizotomy

Release

Freeing a body part from an abnormal physical constraint by cutting or force.(freeing)

ex: carpal tunnel release

Transplantation

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. (no cornea, heart valve, or bone marrow)

ex: heart, lungs

Reattachment

Putting back a part that is cut off completely

ex: avulsed kidney, hand

Transfer

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.(from and to is coded). keeps blood and nerve supply

Ex:pedicle, flaps, and NOT free grafts.

Reposition

Moving to its normal location or other suitable location all or a portion of a body part.

Ex: ONLY displaced fracture or undescended testicles, osteotomy

Restriction

Partially closing an orifice or lumen of a tubular body part( can include intraluminal or extraluminal devices)

ex: clipping of cerebral aneurysm

Occlusion

Completely closing off an orifice or lumen of a tubular body part

ex: ligation of fallopian tubes or tying off hemmorhoids, embolization

Dilation

Expanding an orifice or the lumen of a tubular body part(can include intraluminal or extraluminal devices)

Ex: Percutaneous Transluminal Coronary Angioplasty (P T C A)

Bypass

Altering the route of passage of the contents of a tubular body part

noncoronary: body part and qulaifier is “from and to”

coronary: body part and qualifier is “number of arteries bypassed and from”

Device: graft material,

Ex: CABG, Colonstomy

Insertion

Putting in a nonbiological device that monitors, assists,performs, or prevents a physiological function but does not physically take the place of a body part

Ex: Neurostimulator, bone growth stimulator, cardiac pacemaker

Removal

Taking out or off a device from a body part

ex: removing drainage or internal fixation device

Revision

Correcting, to the extent possible, a portion of a malfunctioning or the position of a displaced device

Change

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.

ex: exchange, putting back same or similar device

Supplement

Putting in or on biologic or synthetic material that physically reinforces and/or augments the function of a body part

ex: hernia repair using a mesh, exchange tube or catheter

Replacement

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

ex:hip replacement, free skin graft, cataract removal

Inspection

Visually and/or manually exploring a body part( instruments may be used)

ex: bronchoscopy, arthrotomy, colonoscopy

Map

Locating the route of passage of electrical impulses and/or locating functional areas in a body part( only used for central nervous system and cardiac conduction system)

ex: brain mapping, cardiac mapping

Repair

Restoring, to the extent possible, a body part to its normal anatomic structure and function( only used if no other root operation applies)

-NEC: not elsewhere classified

ex: suture of lacerations, herniorraphy

Control

Stopping, or attempting to stop, postprocedural or other acute bleeding

-only coded to ear nose sinus, general, lower, and upper extremities

Fusion

Joining together portions of an articular body part rendering the articular body parts immobile

only in joints and based on number of joints not number of vertebrae

ex: spinal fusion

Alteration

Modifying the natural anatomic structure of a body part without affecting the function of the body part( mostly cosmetic can be medical)

ex: breast reduction, blepharoplasty

Creation

Putting in or on biological or synthetic material to form a new body part that to the extent possible replicates the anatomic structure or function of an absent body part

ex: heart valves or gender reassignment