AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor
Hand-Assisted Laparoscopy Nephroureterectomy
A patient underwent a complete left nephroureterectomy. The kidney and proximal ureter were removed via “hand-assisted” laparoscopy and the distal ureter was removed from the bladder via an incision. What is the appropriate ICD-10-PCS code assignment for a left nephroureterectomy when two planned approaches are used to completely remove the ureter? ...
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Article Overview
This article explains how a nephroureterectomy performed with combined laparoscopic-assisted and open components is addressed in ICD-10-PCS. It is relevant for inpatient coders, coding auditors, and reimbursement staff who need to understand procedure coding for multi-approach urinary tract surgery.
Why This Topic Matters
Nephroureterectomy cases can involve more than one operative approach, so accurate ICD-10-PCS reporting depends on understanding how the procedure is described and how the approaches are represented in the record.
What You Will Learn
- How the article frames ICD-10-PCS coding for a nephroureterectomy with multiple planned approaches
- How a combined operative description affects procedure coding analysis
- The general issue of approach selection in inpatient procedure coding for urinary tract surgery
- How the article presents coding considerations for removal of the kidney and ureter in a single case
Who Should Read This
- Inpatient medical coders
- Coding auditors
- Reimbursement staff
- HIM professionals
Codes Discussed
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