AHA Coding Clinic® for ICD-9 - 2010 Issue 1; Ask the Editor

Failed Lattisimus Dorsi Free Flap

The patient, a 62-year-old male, was diagnosed with skin cancer that had eroded into his frontal bone as well as brain. The patient underwent cancer resection with planned reconstruction of his calvarial bone defect via latissimus dorsi free flap. The reconstructive surgery involved the creation and placement of a muscle flap in the calvarial defect. Because a split thickness skin graft was needed to cover the flap, skin graft was harvested from the thigh. The latissimus dorsi muscle was raised, placed into the defect and arterial and venous anastomoses were accomplished. Unfortunately, the anastomosis was not patent. Attempted repair of the anastomosis with suture was unsuccessful. Since there was no palpable flow, the latissimus dorsi free flap was deemed nonviable. The flap was taken down. What are the appropriate ICD-9-CM diagnosis codes for failed latissimus dorsi free flap and the appropriate codes for the procedures performed? ...

To read the full article, sign in and subscribe to AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS .

  • The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice
  • Current newsletters added each quarter
  • Full Archives - over 3100 articles
  • ALL years/issues back to 1984 organized by year and issue
  • Includes ICD-10-CM/PCS Articles since 2013
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - ICD-10-CM/PCS +Archives

free demo
request yours today
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.