AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor

Astrocytoma with Trapped Temporal Horn

A 55-year-old female was admitted with enlarging right temporal horn and right cavity near the lateral ventricle. She had been previously diagnosed with pilocytic astrocytoma and has a long neurosurgical history, status post intraventricular tumor resection, endoscopic membrane lysis, and ventricular peritoneal shunt placement. The patient was admitted for trapped right temporal horn and was also diagnosed with recurrent astrocytoma, hydrocephalus, and encephalopathy. She had re-resection of the tumor. Would it be appropriate to assign a separate diagnosis code for the trapped temporal horn, or is it considered integral to the patient’s condition?  ...

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