AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor
Ileocecectomy Including Cecum, Terminal Ileum and Appendix
A 55-year-old woman presents to the hospital with a five-day history of abdominal pain, fever and chills. An exploratory laparotomy was performed which revealed a perforated appendix. The entire appendix was gangrenous down to the base, which was extremely thin-walled and friable. Therefore, the surgeon performed an ileocecectomy, which included the entire cecum, the terminal ileum and the appendix. Is it appropriate to assign separate codes for resections of the appendix and the cecum along with excision of the terminal ileum? ...
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