AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Ask the Editor

Breast Reconstruction with Neurotization

A patient, who is status post right mastectomy, is admitted for deep inferior epigastric perforator (DIEP) flap breast reconstruction with nerve conduit neurotization. During surgery, the recipient site was prepared, the abdominal fascia was dissected and the perforator flap was harvested. The donor nerve was identified and dissected for later neurotization. At the recipient site, the internal mammary artery and vein were prepared at the fourth intercostal space for anastomosis to the donor perforators. Under the operating microscope, the nerve repair is accomplished using a Neurogen alloplastic conduit to coapt the donor and recipient nerves. The cut ends of the nerves were secured to the conduit with suture. When DIEP flap neurotization using the intercostal and sensory nerves as a conduit is accomplished, is the neurotization coded separately? ...

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
pricing
for any budget
sign IN
welcome back!

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