AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 1; Clarifications

Intraoperative Serosal Tear

Please clarify the advice published in Coding Clinic Second Quarter 2021, page 8, regarding intraoperative serosal tear. The advice appears to conflict with the Official Guidelines for Coding and Reporting for documentation of complication of care (1.B.16.) since the provider explicitly documented that no complication occurred. In addition, because the tear occurred during a laparoscopic salpingo-oophorectomy, code K91.72, Accidental puncture and laceration of a digestive system organ or structure during other procedure, should have been assigned, rather than code K91.71, Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedure.  ...

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