See Category:
This term is infrequently used. It refers the coder to a section of
code numbers rather than one code.
Lysis
Adhesions
Bone - see category 78.9
The section mark symbol preceding a code denotes the placement of a footnote at
the bottom of the page which is applicable to all subdivision in the code.
Code also: This instruction in the Tabular List is a guide to determining the number of
codes necessary. It is a reminder to code the individual components of
a procedure when they are accomplished at the same time. "Code also"
is also used as an instruction to code the use of special adjunctive
procedures or equipment. "Code also" often includes the word
"synchronous" (performed at the same time).
46.1 Colostomy
Code also any synchronous resection
(45.49, 45.71-45.79, 45.8)
The instruction "Code also" may appear under two-digit, three -digit, or
four-digit codes.
Omit Code: The surgical approach and closure are a part of the operation and do not
require codes in addition to the code for the operation unless they are
unusual or required by the statement "code also." Procedures such as
laparotomy are not coded if used as an approach for a surgical
procedure such as excision or repair. The surgical approach code is
used when there is no further operative procedure, e.g., exploratory
laparotomy with biopsy. Both the laparotomy and the biopsy are coded.
Exception: If a procedure is started and not completed, the approach
(incision) is coded. The instruction "omit code" is the guide in both the
Tabular List and Alphabetic Index.
APPLICATION
1. When an endoscopy is performed and the endoscope is passed through more than
one cavity, the code for the endoscopy will identify the farthest site.
Esophagoscopy NEC
42.23
Esophagogastroscopy NEC (Other gastroscopy) 44.13
Duodenoscopy (Other endoscopy of small intestine)
45.13
Esophagogastroduodenoscopy
45.13
MD0753
A-17