AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 3; Ask the Editor
Incision and Drainage of Submandibular Space
A patient presented with an abscess in the right submandibular space following a tooth extraction. An incision was made in the right submandibular area through the skin in order to enter the abscess cavity. Once the abscess was drained, the inferior border was explored and all loculations were broken up and mild extension into the lingual and medial aspects of the mandible was completed. Attention was then turned intraorally where the submandibular space was irrigated and a silicone drain was placed transcutaneously. How should this procedure be coded? ...
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Article Overview
This premium article addresses coding for a drainage procedure involving the submandibular space after a dental extraction. It is aimed at coders and reimbursement professionals who work with inpatient procedural coding and need to identify the appropriate ICD-10-PCS code from a clinical narrative.
Why This Topic Matters
Accurate procedure code selection depends on understanding the operative setting, the anatomic site involved, and the coding system applied to the encounter.
What You Will Learn
- How to interpret a clinical narrative describing drainage of the submandibular space
- How the procedure is represented in ICD-10-PCS
- What aspects of the operative description are relevant for code assignment
- How to determine the coding answer from a short procedural case
Who Should Read This
- Medical coders
- Coding auditors
- Reimbursement specialists
- Revenue cycle staff
- Clinical documentation staff
Codes Discussed
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