AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 2; Ask the Editor
Ileoscopy with Excision of Polyp of Ileal Loop Urinary Diversion
The patient has a history of transitional cell carcinoma of the bladder and kidney and was found to have a calcified polyp within his ileal loop conduit. The patient underwent ileoscopy of right ileal loop urinary diversion and excision of the polyp with cauterization at the base of the polyp. What are the appropriate ICD-10-PCS procedure code assignments? ...
Subscribe or sign in to view the full article.
Article Overview
This premium article addresses a urinary diversion procedure scenario and the ICD-10-PCS assignment considerations it raises. It is intended for medical coders and coding educators who need to understand how an endoscopic procedure on an ileal loop urinary diversion is interpreted for procedure coding. The article focuses on the clinical context, the anatomic site involved in the coding logic, and the resulting procedure code assignment discussion.
Why This Topic Matters
Urinary diversion cases can create ambiguity about which body part is considered the operative site. Understanding the coding approach helps ensure consistent ICD-10-PCS reporting for procedures performed on an ileal loop used as an artificial bladder.
What You Will Learn
- How a urinary diversion case is framed for ICD-10-PCS procedure coding
- How the operative site is interpreted in the context of an ileal loop urinary diversion
- What factors are discussed when assigning the procedure code in this scenario
- How the article approaches coding for an endoscopic excision on a diverted urinary tract structure
Who Should Read This
- Medical coders
- Coding educators
- Revenue cycle professionals
- Health information management staff
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com