AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 2; Ask the Editor

Ex Utero Intrapartum Treatment Procedure

A pregnant patient presents at 38 weeks because the fetus was found to have a left upper lobe lung mass. The mother underwent the ex utero intrapartum (EXIT) procedure, in which the mass on the fetus’ lung was excised via low transverse hysterotomy. The head, neck, upper extremities and upper torso of the fetus were delivered through low transverse hysterotomy. The surgeon performed the thoracotomy and excision of the fetal lung mass while the fetus was still attached to the umbilical cord and placenta. The fetal thoracotomy was closed, and the lower torso and lower extremities of the fetus were delivered through the hysterotomy. The umbilical cord was then cut, and the infant was handed off to the surgical team for further stabilization/resuscitation. What is the appropriate procedure code assignment for the EXIT procedure to remove the mass from the fetal lung? ...

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