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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