AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor

Hemi-Cranioplasty for Repair of Cranial Defect

A patient, status post right hemi-craniectomy, underwent a right hemi-cranioplasty to repair the cranial defect. In the process, two small dural rents were noted and repaired primarily. The cranial implant was secured in place. The area was irrigated, a head wrap was placed and the patient was transferred in stable condition. What would be the appropriate root operation for the right hemi-cranioplasty; replacement or supplement? Additionally, would the dural repair be coded separately? ...

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