International Classification of Diseases Tenth Revision Procedure Coding

International Classification of Diseases Tenth Revision Procedure Coding System (ICD-10 -PCS): An Applied Approach 2012 Edition Chapter 13: Endocrine and Lymphatic Systems © 2012

Endocrine and Lymphatic Systems • Endocrine – releases hormones to direct body functions -G for 2 nd character • Lymphatic-drains fluid from the tissues and helps to protect the body from disease -7 – for 2 nd character © 2012

Functions of the Endocrine System • • Series of small glands Secrete hormones into the blood Regulate body activities Influence cells that have receptor sites for the hormones © 2012

Organization of the Endocrine System • See Figure 13. 1 • Endocrine –pituitary, pineal body, thyroid, parathyroids, adrenals, Islets of Langerhans, gonads • Some Endocrine organs in other body systems -Hypothalamus – Central Nervous System -Pancreas – Hepatobiliary System -Ovary – Female Reproductive System -Testes – Male Reproductive System © 2012

Other Body Parts • • • Carotid body Para-aortic body Coccygeal glomus Glomus Jugulare Paraganglion extremity © 2012

Common Root Operations- Endocrine • Glands do not have tubular body parts - these root operations do not apply • Glands are not transplanted – no Transplantation • See Table 13. 1 © 2012

Body Part Values • See Table 13. 2 -Pituitary gland -Pineal body -Adrenal gland – left, right, bilateral -Carotid body – left, right, bilateral • Not a part of the carotid artery-small epithelial structure -Para-aortic body -Coccygeal glomus -Glomus jugulare -Aortic body © 2012

Approaches in the Endocrine System • • • See Table 13. 3 0 – Open 3 – Percutaneous 4 – Percutaneous Endoscopic X – External -For changing, removing or revising a device © 2012

Devices and Qualifiers in the Endocrine System • See Tables 13. 4 and 13. 5 • Devices 0 - Drainage device 2 – Monitoring device 3 – Infusion device Y – Other device Z – No device • Qualifiers X- Diagnostic Z – No qualifier © 2012

Functions of the Lymphatic System • Returns excess interstitial fluid to blood • Absorbs fat and fat-soluble vitamins • Provides defense against invading microorganisms and disease • Lymph similar to blood plasma in consistency © 2012

Organization of the Lymphatic System • • See Figure 13. 2 Lymph vessels-return lymph to the venous system and take fluids from cells • Lymph nodes -Filter lymph -Greatest concentration – cervical, axillary and inguinal • Inguinal lymph nodes classified to body part value C – lymphatic, pelvis -Thoracic duct – largest lymph vessel • Tonsils -Mouth and Throat body system • Spleen -Removes damaged erythrocytes and stores blood • Thymus-matures and releases T lymphocyte cells • Bone Marrow -Spongy tissue with stem cells © 2012

Common Root Operations in the Lymphatic System • Tubular body parts -Dilation, Occlusion, Restriction • Resection vs. Excision -Entire lymph node chain – Resection -Lymph node(s) - Excision • Transplantation vs. Administration- See Coding Guideline B 3. 16 -Transplant -Thymus and spleen -Administration – Bone marrow and pancreatic islet cells • Extraction -Bone marrow biopsies • See Table 13. 6 © 2012

Body Part Values in Lymphatic System • • See Table 13. 7 Lymph ducts and nodes throughout the body Thoracic duct Cisterna Chyli Thymus Spleen Bone marrow © 2012

Approaches in the Lymphatic System • • • See Table 13. 8 0 – Open 3 – Percutaneous 4 – Percutaneous Endoscopic X – External o Changing, removing or revising a device © 2012

Devices in the Lymphatic System • See Table 13. 9 • Extraluminal and Intraluminal for tubular body parts • Tissue types for Removal, Supplement and Revision • Drainage and infusion devices © 2012

Qualifiers for the Lymphatic System • See Table 13. 10 • Source of transplanted tissue o 0 – Allogeneic o 1 – Syngeneic o 2 - Zooplastic • X – Diagnostic • Z – No qualifier © 2012