AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 1; Ask the Editor

Biliary Obstruction due to Hepatocellular Malignancy

A 69-year-old patient with nonresectable hepatocellular carcinoma (HCC), status post radioembolization, presented with two weeks of progressive hyperbilirubinemia. He underwent endoscopic retrograde cholangiopancreatography, which revealed biliary obstruction from HCC progression. The provider performed biliary sphincterotomy and insertion of biliary stent into the common bile duct. There is confusion as to whether it is appropriate to sequence the carcinoma as the principal diagnosis, since it is the underlying cause of the obstruction, or whether the obstruction is sequenced as the principal diagnosis, since it was the reason for the admission, and no treatment was directed to the carcinoma. What is the correct sequencing of the biliary obstruction and the hepatocellular carcinoma for this encounter?  ...

To read the full article, sign in and subscribe to AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS .

  • The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice
  • Current newsletters added each quarter
  • Full Archives - over 3100 articles
  • ALL years/issues back to 1984 organized by year and issue
  • Includes ICD-10-CM/PCS Articles since 2013
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - ICD-10-CM/PCS +Archives

free demo
request yours today
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.