AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 1; Ask the Editor
Excision of Pelvic Sidewall Mass
A patient with recurrent duodenal cancer and metastatic disease in the pelvis developed a large bowel obstruction surrounding the rectosigmoid colon, rectum and the left pelvic sidewall. During surgery, the mass involving the left pelvic sidewall, sigmoid colon, and rectum were all excised. What is the body part value for the pelvic sidewall? How should this surgery be coded? ...
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Article Overview
This premium article explains how a pelvic sidewall lesion is categorized for ICD-10-PCS body-part selection and discusses how the related surgery is represented in procedure coding. It is aimed at facility coders, coding educators, CDI staff, and other professionals who need to understand how pelvic anatomy is translated into PCS terminology. The article focuses on body-part assignment, coding of multiple excised areas, and the general rationale for capturing the extent of the procedure in coded data.
Why This Topic Matters
Accurate procedural abstraction depends on assigning the correct ICD-10-PCS body part and representing all excised structures in the coded record. This topic is especially relevant when operative findings involve overlapping pelvic anatomy and adjacent structures.
What You Will Learn
- How the article frames pelvic sidewall anatomy in the context of ICD-10-PCS
- How the surgery is represented at a high level in procedure coding
- Why documenting multiple excised areas matters for coded data capture
- How body-part selection is discussed for a pelvic lesion in relation to PCS terminology
Who Should Read This
- Facility coders
- Coding educators
- CDI specialists
- Health information management professionals
- Reimbursement staff
Codes Discussed
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