AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 2; Ask the Editor

Transverse Abdominomyocutaneous (TRAM) Breast Reconstruction

The patient is status post left mastectomy for breast cancer. An ipsilateral pedicle transverse abdominomyocutaneous (TRAM) flap breast reconstruction was performed. The TRAM flap was elevated off the underlying abdominal wall, leaving the medial and lateral rows of anterior rectus sheath perforators intact on the left side. The resulting muscle flap was passed through the tunnel into the left breast. What are the appropriate ICD-10-PCS code assignments for this procedure? Under the term, reconstruction in the Index to Procedures of ICD-10-PCS, there are instructions to see repair, replacement and supplement. ...

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