AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 2; Ask the Editor

Evacuation of Hematoma using NICO Brainpath® Technology

A patient underwent evacuation of intraparenchymal hemorrhage using NICO BrainPath® technology. A burr hole was created and a circular craniotomy was completed. The bone flap was elevated, a dural incision was completed, and the brain started to gently bulge out. The Mitaka arm was placed and the dedicated Storz exoscope was placed in the desired position. Using the NICO BrainPath® technology, a 60 mm port was gently advanced all the way down to the bottom of the clot. Clot fragments were suctioned and removed. What is the appropriate approach for this procedure, open or percutaneous?  The “brain” was exposed during surgery, but it appears that the evacuation of the hemorrhage (operative site) was not directly visualized. What is the appropriate ICD-10-PCS code for the procedure? ...

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