Questions: Code the following case study. One code is required. Procedure: Right below the knee amputation Indication for Procedure: Gangrene of the right foot due to diabetes Preoperative Diagnosis: Gangrene of the right foot Postoperative Diagnosis: Gangrene of the right foot Procedure Notes: The patient was brought to the operating suite and given general LMA anesthesia. The right foot was secluded in an isolation bag and the lower extremity circumferentially prepped and draped in its entirety. Beginning on the right side, the skin was marked with a marking pen 4 fingerbreadths below the tibial tuberosity. anteriorly with a long posterior flap. The skin was incised circumferentially, and the anterior muscle was sharply divided exposing the tibla. The tibla was cleaned with a periosteal elevator and then transected with the Stryker saw. The fibula was exposed and transected with the bone cutter and the amputation completed by sharply incising the posterior muscles. Bleeding vessels were ligated. The wound was imigated and ultimately closed without significant tension utilizing interrupted vicryl sutures and skin staples. ICD-10-PCS code:

Code the following case study. One code is required.
Procedure: Right below the knee amputation
Indication for Procedure: Gangrene of the right foot due to diabetes
Preoperative Diagnosis: Gangrene of the right foot
Postoperative Diagnosis: Gangrene of the right foot
Procedure Notes: The patient was brought to the operating suite and given general LMA anesthesia. The right foot was secluded in an isolation bag and the lower extremity circumferentially prepped and draped in its entirety. Beginning on the right side, the skin was marked with a marking pen 4 fingerbreadths below the tibial tuberosity. anteriorly with a long posterior flap. The skin was incised circumferentially, and the anterior muscle was sharply divided exposing the tibla. The tibla was cleaned with a periosteal elevator and then transected with the Stryker saw. The fibula was exposed and transected with the bone cutter and the amputation completed by sharply incising the posterior muscles. Bleeding vessels were ligated. The wound was imigated and ultimately closed without significant tension utilizing interrupted vicryl sutures and skin staples. ICD-10-PCS code:
Transcript text: Code the following case study. One code is required. Procedure: Right below the knee amputation Indication for Procedure: Gangrene of the right foot due to diabetes Preoperative Diagnosis: Gangrene of the right foot Postoperative Diagnosis: Gangrene of the right foot Procedure Notes: The patient was brought to the operating suite and given general LMA anesthesia. The right foot was secluded in an isolation bag and the lower extremity circumferentially prepped and draped in its entirety. Beginning on the right side, the skin was marked with a marking pen 4 fingerbreadths below the tibial tuberosity. anteriorly with a long posterior flap. The skin was incised circumferentially, and the anterior muscle was sharply divided exposing the tibla. The tibla was cleaned with a periosteal elevator and then transected with the Stryker saw. The fibula was exposed and transected with the bone cutter and the amputation completed by sharply incising the posterior muscles. Bleeding vessels were ligated. The wound was imigated and ultimately closed without significant tension utilizing interrupted vicryl sutures and skin staples. ICD-10-PCS code:
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Solution

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To code the given case study using ICD-10-PCS, we need to identify the key components of the procedure:

  1. Root Operation: The procedure performed is an amputation, which falls under the root operation "Detachment" in ICD-10-PCS.

  2. Body Part: The amputation was performed "Right below the knee," which corresponds to the "Lower Leg, Right" in ICD-10-PCS.

  3. Approach: The procedure was performed using an open approach, as indicated by the description of the surgical steps.

  4. Qualifier: The qualifier for the level of detachment is determined by the specific location of the amputation. In this case, the amputation is below the knee, which is typically coded as "High" for below-knee amputations.

Based on these components, the ICD-10-PCS code for this procedure is:

0Y6J0Z3

  • 0: Medical and Surgical Section
  • Y: Lower Joints
  • 6: Detachment
  • J: Lower Leg, Right
  • 0: Open Approach
  • Z: No Device
  • 3: High (for below-knee amputation)

This code accurately represents the procedure of a right below-knee amputation performed due to gangrene of the right foot.

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