AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 2; Ask the Editor

Duhrssen Cervical Incision

A patient with twin pregnancy presented with Twin A in a frank breech position too low in the vagina for a cesarean section. The decision was made for a vaginal breech delivery. The head of Twin A was noted to be entrapped in the cervix so a Duhrssen incision was performed to facilitate delivery. After Twin A was delivered, Twin B experienced recurrent prolonged heart decelerations prompting cesarean delivery of Twin B. After surgical closure of the cesarean section, the cervix was examined and bleeding was noted from the Duhrssen incision, which was closed with suture. What ICD-10-PCS code is assigned for a Duhrssen cervical incision and is an additional code assigned for the repair? ...

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