AHA Coding Clinic® for ICD-9 - 2013 Issue 2; Ask the Editor

Ex-Vivo Hepatic Resection with Reimplantation of Liver

A patient with liver cancer presents for what is described as ex-vivo hepatic resection and reimplantation of the liver. The surgeon removes the patient’s liver and excises the tumors from the liver (back bench surgery) and reimplants the liver back into the patient. How should these procedures be reported? There does not appear to be a way to capture the removal and subsequent re-insertion of the patient’s liver. Would it be appropriate to use a liver transplant since there is not a code for liver autotransplant? What is the appropriate code for the procedure performed? ...

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