PCS Root Operation Grid

🛠 ICD‑10‑PCS Root Operation Grid

🎯 Purpose

Quick reference for PCS root operations by intent, with examples and documentation notes.

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🔧 Root Operations by Intent

🧩 Objective: Take Out

Root Operation	Definition	Example
Excision	Cutting out part of a body part	Liver biopsy
Resection	Cutting out all of a body part	Total nephrectomy
Extraction	Pulling or stripping out	D&C, vein stripping

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🧩 Objective: Put In / Put Back

Root Operation	Definition	Example
Insertion	Putting in a device	Central line
Replacement	Putting in device that replaces body part	Hip replacement
Supplement	Reinforcing body part	Mesh repair

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🧩 Objective: Move / Alter

Root Operation	Definition	Example
Bypass	Rerouting contents	CABG
Restriction	Partially closing	Gastric band
Occlusion	Completely closing	Tubal ligation

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🧩 Objective: Repair / Restore

Root Operation	Definition	Example
Repair	Restoring body part	Hernia repair
Reposition	Moving to normal location	Undescended testicle

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🧠 Notes

• Root operation = intent of the procedure
• Device must remain after procedure to count
• If unsure: default to Repair

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🔗 Cross‑Links

• CIC Quick Reference
• Coding Scenarios