AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Ask the Editor
Evacuation of Clots from Bladder Dome
A patient was returned to the operating room after passing blood clots following transurethral resection of a bladder tumor. Upon insertion of a cystoscope, the surgeon noted clots within the bladder, and adherent to the bladder wall and dome. Most of the clots were flushed out, and a layer of densely adherent clot to the bladder dome was scraped loose and removed with a resectoscope, with no active bleeding. What is the appropriate code assignment for this procedure? ...
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Article Overview
This premium coding article explains a postoperative urologic procedure involving endoscopic evacuation of bladder clots after transurethral resection of a bladder tumor. It is intended for coders and coding professionals who need to evaluate the procedure context, the operative approach, and the applicable ICD-10-PCS assignment guidance for this type of case.
Why This Topic Matters
Postoperative return-to-OR cases can be coded differently depending on the documented procedure details and the operative approach. This article helps readers understand how a bladder clot evacuation scenario is framed for ICD-10-PCS assignment.
What You Will Learn
- How a postoperative bladder clot evacuation case is described for coding review
- How the operative setting and endoscopic approach affect ICD-10-PCS consideration
- How to interpret the procedure context in relation to code assignment guidance for this scenario
- How the article frames the relevant ICD-10-PCS classification concepts for bladder clot removal
Who Should Read This
- Medical coders
- Coding auditors
- Compliance staff
- Urology coding professionals
- Health information management professionals
Codes Discussed
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