AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 3; Ask the Editor
Incision and Drainage of Multiple Abscess Cavities Using Vessel Loop
The patient presents with extensive hidradenitis suppurativa subcutaneous abscesses in her right and left breasts, axillary region, suprapubic space, and bilateral thighs. She underwent incision and loop drainage. First, the abscess cavities in the breasts were incised and opened and a vessel loop was placed and tunneled between abscess cavities through the surrounding areas. The vessel loops were then tunneled and connected the underlying abscess cavities for drainage. This procedure was repeated at multiple sites including the axillary region, suprapubic space, and thigh abscesses. In ICD-10-PCS, would “percutaneous or external” be the correct approach, and is the vessel loop classified as a “drainage device”? Additionally, what is the body part value for suprapubic space? ...
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Article Overview
This article addresses ICD-10-PCS coding questions raised by incision and loop drainage performed for multiple abscess cavities at several body sites. It is aimed at coders and reimbursement professionals who need to understand the coding framework, body-part selection issues, and device classification questions associated with this type of procedure.
Why This Topic Matters
Procedures involving drainage of multiple abscess cavities can raise coding questions about approach, device classification, and body-part assignment. This article helps readers evaluate those ICD-10-PCS considerations in a multi-site hidradenitis suppurativa case.
What You Will Learn
- How the article frames ICD-10-PCS coding questions for incision and loop drainage
- What general coding considerations are raised for multiple abscess cavities
- Why body-part selection can be an issue in multi-site drainage procedures
- How the article characterizes the vessel loop within the coding discussion
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle professionals
- Health information management staff
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