AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Ask the Editor

Control of Epistaxis

The patient presented with epistaxis and the provider documented that two sutures were placed to surround a small ruptured arterial bleeding vessel of the external right naris. Since the purpose of the suturing is to control the bleeding (arterial), table 03Q, Repair, upper arteries, appears to be the correct table, with “face artery” assigned as the body part (4th character). However, “external” is not an option for the approach (5th character). Code 09QKXZZ Repair nose, external approach, also appears to be an option. What is the most appropriate ICD-10-PCS code assignment for the placement of sutures surrounding a small ruptured arterial bleeding vessel of the external right naris? ...

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