AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor

Decompressive Craniectomy with Cryopreservation and Storage of Bone Flap

The patient is a 25-year-old man who was involved in a high speed automobile accident. He presented to the Emergency Department and was admitted with an acute right subdural hematoma with compression of brain and significant right to left midline shift with herniation. He underwent right frontotemporal parietal decompressive craniectomy, evacuation of acute subdural hematoma, left frontal bur hole, and placement of intracranial pressure monitor. A portion of the skull was removed to allow room for the swollen brain. The bone flap was then frozen and stored in the bone bank. How is the removal and storage of the bone flap coded? What are the appropriate ICD-10-PCS procedure codes for this surgery?  ...

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