AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 1; Ask the Editor
Intrauterine Cook Balloon Placement for Ectopic Pregnancy
A 28-year-old pregnant patient with a history of three prior cesarean deliveries was transferred to our facility, for management of a C-section scar ectopic pregnancy. Due to the patient’s desire for future fertility, she deferred surgical management in favor of medical management. Multi-dose injections of systemic methotrexate were initiated on admission. An ultrasound confirmed pregnancy in the anterior lower uterine segment with positive fetal cardiac activity. An intrauterine Cook balloon was placed to compress the gestational sac and expedite fetal demise, as well as a tamponade for potential bleeding. During the procedure, a Cook balloon catheter was passed through the cervix and into the uterine cavity. The balloon was inflated with saline to maintain the balloon in the uterus. An additional balloon was then inflated just below the level of the visualized gestational sac. Both balloons were inflated further until the gestational sac was compressed and no clear sac was visualized or fetal cardiac activity was detected. What is the appropriate ICD-10-PCS code for the Cook balloon catheter placement for an ectopic pregnancy? ...
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