pcs code for Because this is percutaneous there was a puncture involved so the root operation is NOT change

pcs code for Because this is percutaneous there was a puncture involved so the root operation is NOT change. They took out the leads and put in new leads. The two codes used for taking out the leads are based on guideline B3.2b – the same root operation is repeated on different body sites that are included in the same body part value.

For the procedure you described, where leads were removed and new leads were inserted through a percutaneous approach, the appropriate ICD-10-PCS codes would depend on the specific details of the procedure. However, based on your information, I can guide you on how to form the codes.

Removal of Leads
Root Operation: Since the leads are being removed, you would use the root operation “Extraction” (which refers to the removal of a device from the body).
Body Part: Specify the body part from which the leads are being extracted (e.g., heart, vascular system, etc.).
Insertion of Leads
Root Operation: The insertion of new leads would use the root operation “Insertion”.
Body Part: Specify the body part where the new leads are being inserted.
Example Codes
Here’s a hypothetical example if we consider the heart leads (you would need to adjust based on the specific leads and body parts involved):

For Removing Leads:
Extraction Code: 02HL3DZ (for extracting leads from the heart, using the general framework).
For Inserting New Leads:
Insertion Code: 02HL0DZ (for inserting new leads into the heart).
Coding Guidelines
According to guideline B3.2b, since the same root operation is repeated on different body sites (or the same body part), you would ensure that the codes reflect the specific details of the procedure for accuracy in reporting.

Conclusion
For precise coding, you would need to consider the exact details of the procedure, including the body parts involved and the specific device types. If you have access to a coding manual or database, it can provide additional assistance in finding the exact codes based on the procedure performed. If you provide specific details about the body parts or the type of leads involved, I can help refine this further!