AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 4; New/Revised ICD-10-PCS Codes Section 0 - Medical and Surgical
Bladder Augmentation
In table 0DX, Transfer of Gastrointestinal System, a new qualifier value B Bladder was added to the body part values 8 Small Intestine and E Large Intestine, to capture procedures such as bladder augmentation using an isolated section of the intestine (usually the ileum, cecum, or sigmoid) that is still connected to its vascular and nervous supply.Body Part Approach Device Qualifier 8 Small Intestine 0 Open 4 Percutaneous Endoscopic Z No Device 5 Esophagus B Bladder Body Part Approach Device Qualifier E Large Intestine 0 Open 4 Percutaneous Endoscopic Z No Device 5 Esophagus 7 Vagina B Bladder...
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Article Overview
This article reviews an ICD-10-PCS table change affecting bladder augmentation procedures and shows how the update applies to a representative operative scenario. It is useful for inpatient coders, CDI staff, and clinical documentation teams who work with urologic reconstruction and ICD-10-PCS body-part qualifiers. The discussion focuses on the PCS table structure, the new bladder qualifier, and the type of procedure representation needed for augmentation cystoplasty.
Why This Topic Matters
Bladder augmentation procedures can be coded differently depending on the PCS table and body-part qualifier used, so understanding the update helps support accurate inpatient procedure reporting and documentation review.
What You Will Learn
- How a PCS table update affects coding for bladder augmentation procedures
- Why the bladder qualifier matters in the context of intestinal transfer procedures
- How a representative augmentation cystoplasty scenario is mapped in ICD-10-PCS
- What documentation features are relevant when reviewing this type of reconstructive urologic procedure
Who Should Read This
- Inpatient coders
- Clinical documentation integrity specialists
- Coding educators
- Urology procedure abstractors
Codes Discussed
Code Ranges Discussed
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