AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 1; Ask the Editor
Displacement of Tubal Occlusion Devices (Essure® Coil & Filshie® Clip)
The patient has history of tubal ligation with Filshie® clips and Essure® coils to occlude the fallopian tubes to prevent pregnancy. She now presents for removal of displaced tubal occlusion devices. The displaced clips and coils were found in the omentum, peritoneum, posterior surface of the uterus and cul-de-sac. Would they be coded as displacement of intrauterine contraceptive devices? What is the diagnosis code assignment for these displaced tubal occlusion devices? ...
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Article Overview
This premium article explains how to approach diagnosis coding when tubal occlusion devices such as Essure coils and Filshie clips have displaced after prior sterilization procedures. It is aimed at coding professionals who need to understand the relevant ICD-10-CM category, the anatomic context, and the distinction from other contraceptive-device coding concepts. The article provides guidance on the appropriate diagnosis code assignment and clarifies what category of device these displaced implants should not be reported as.
Why This Topic Matters
Accurate diagnosis coding for displaced sterilization devices affects claim accuracy, record specificity, and proper classification of the encounter. The topic is especially relevant for gynecology, surgical follow-up, and medical coding staff reviewing complications involving implanted devices.
What You Will Learn
- How displaced tubal occlusion devices are categorized for diagnosis coding
- Why these devices are treated differently from intrauterine contraceptive devices
- How the anatomic context of displacement relates to diagnosis assignment
- What general ICD-10-CM complication category is discussed for this situation
Who Should Read This
- Medical coders
- Coding auditors
- Gynecology billing staff
- Revenue cycle professionals
- Clinical documentation specialists
Codes Discussed
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