3.1 The main term orchiopexy has two cross references: see Repair, Male Reproductive System and see Reposition Male Reproductive System
3.2 Because the objective of the procedure is to place the undescended testicles into their proper spot, the correct root operation, Reposition—moving to its normal location, or other suitable location, all or a portion of a body part, is selected
3.5 C for bilateral as the clinical documentation states testicles
3.6 0 for Open
3.7 Z and Z for No Device and No Qualifier
Medical and Surgical
Male Reproductive System
Chapter 2 2013 Updates Coding Guideline A5 on page 31 updated. The last sentence now reads “Example: In the Lower Joints body system, the device value 3 in the root operation Insertion specifies Infusion Device and the device value 3 in the root operation Replacement specifies Ceramic Synthetic Substitute.”
Coding Guideline B3.1b on page 35 updated. The Guideline now reads:
“Components of a procedure specified in the root operation definition and explanation are not coded separately. Procedural steps necessary to reach the operative site and close the operative site, including anastomosis of a tubular body part, are also not coded separately.”
Also, in this Guideline there is a sentence added to the Example that reads: “In a resection of sigmoid colon with anastomosis of descending colon to rectum, the anastomosis is not coded separately.”
New Coding Guideline B4.8 to be added on page 46
In the Gastrointestinal body system, the general body part values Upper Intestinal Tract and Lower Intestinal Tract are provided as an option for the root operations Change, Inspection, Removal and Revision. Upper Intestinal Tract includes the portion of the gastrointestinal tract from the esophagus down to and including the duodenum, and Lower Intestinal Tract includes the portion of the gastrointestinal tract from the jejunum down to and including the rectum and anus.
Example: In the root operation Change table, change of a device in the jejunum is coded using the body part Lower Intestinal Tract.
Substitute the following Approach Decision Tree for Figure 2.5 on page 46