Presented by:THIMA ICD 10 Committee

Devices fall into four basic groups:

Grafts and Prostheses

Implants

Simple or Mechanical Appliances

Electronic Appliances

0-Drainage Device2-Monitoring Device3-Infusion Device7-Autogolous Tissue

SubstituteC-Extraluminal DeviceD-Intraluminal DeviceJ-Synthetic SubstituteK-Nonautologous Tissue

SubstituteL-Artificial SphincterM-Stimulator LeadY-Other DeviceZ- No Device

1. Biological or synthetic material that takes the place of all or a portion of the body part (i.e. skin graft, joint prosthesis)

2. Biological or synthetic material that assists or prevents a physiological function (i.e. IUD)

3. Therapeutic material that is not absorbed by, eliminated by, or incorporated into a body part (i.e. radioactive implant)

4. Mechanical or electronic appliances used to assist, monitor, take the place of or prevent a physiological function (i.e. cardiac defibrillator, orthopedic pin)

The device is the 6th character Used to specify devices that remain after

the procedure is completed Materials such as clips and sutures are not

considered devices Instrumentation used to visualize the

procedure site is not specified in the device value. This information is specified in the approach value.

If the procedure performed is to put a device in, then the root operation is INSERTION

Example:Cystoscopy with placement of brachytherapy seeds in prostate gland.

If the device is put in to meet anobjective other than INSERTION,the root operation defining the underlying objective of the procedure is used.

Example:Right Total Knee Replacement

General Guidelines: B6.1a. A device is coded only if a device

remains after the procedure is completed. If NO device remains, the device value No Device is coded.

B6.1b. Materials such as sutures, ligatures, radiological markers and temporary post-operative wound drains are considered integral to the performance of the procedure and are not coded as devices.

General Guidelines con’t: B6.1c. Procedures performed on a device only and

not on a body part are specified in the root operations Change, Irrigation, Removal and Revision, and are coded to the procedure performed.

Example: Irrigation of percutaneous nephrostomy tube is

coded as: AdministrationIndwelling DeviceIrrigation.

B6.2. A separate procedure to put in a drainage device is coded to the root operation Drainage with the device value Drainage Device