AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Quarter 1; Ask the Editor
Coding Escutcheonectomy and Skin Grafting for Buried Penis Repair
A morbidly obese man presented for surgical repair of a buried penis. The patient underwent escutcheonectomy. At surgery, the penis was degloved to the suspensory ligament. Escutcheonectomy was performed with removal of excess suprapubic skin, fat and tissue. Split-thickness skin graft was excised from the right upper thigh. The graft was used to cover the penis where it had been degloved. What are the appropriate ICD-10-PCS codes for surgical repair of a buried penis? ...
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Article Overview
This article explains how a buried penis repair case is coded in ICD-10-PCS. It is aimed at inpatient coding professionals, auditors, and CDI staff who need to understand how the procedure narrative maps to procedure coding concepts for tissue excision and grafting.
Why This Topic Matters
Accurate procedure coding for complex genital reconstructive surgery depends on recognizing the distinct operative components documented in the record. This article helps readers understand how the case is categorized in ICD-10-PCS.
What You Will Learn
- How the operative narrative is translated into ICD-10-PCS coding concepts
- How multiple procedural components in a single repair are reflected in inpatient coding
- How buried penis repair cases may be documented for coding review purposes
- How tissue removal and grafting are discussed in the context of ICD-10-PCS
Who Should Read This
- Inpatient coders
- Coding auditors
- CDI specialists
- Revenue integrity staff
- Health information management professionals
Codes Discussed
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