AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Ask the Editor
Abdominoperineal Resection (APR) with Flap Closure of Perineum and Colostomy
A 57-year-old male with low rectal cancer presents for abdominoperineal resection (APR) of the rectum with reconstruction to follow. A cylindrical APR was performed, along with excision of the sigmoid colon and resection of the anus. Should the excision of the sigmoid colon and resection of the anus be reported separately? ...
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Article Overview
This article explains how a specific surgical scenario is considered for ICD-10-PCS reporting, with attention to the operative components involved in an abdominoperineal resection and related resection/excision questions. It is useful for hospital coders, CDI staff, and revenue cycle professionals who need to understand how the procedure is represented in coding terms and which official code set is involved.
Why This Topic Matters
Accurate procedure coding for complex colorectal surgery affects coded data quality, reimbursement, and reporting consistency. The article helps readers identify how the operative elements of a case are handled in the ICD-10-PCS framework.
What You Will Learn
- How a complex rectal cancer surgery is framed for inpatient procedure coding
- How the article approaches reporting of the operative components in ICD-10-PCS
- What type of coding question is raised by abdominoperineal resection cases
- Which code set is used for the procedure reporting discussion
Who Should Read This
- Hospital inpatient coders
- Clinical documentation integrity specialists
- Coding auditors
- Revenue cycle professionals
Codes Discussed
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