AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor
Laparoscopic Biliopancreatic Diversion with Duodenal Switch
The patient has a long history of morbid obesity and presents for surgical treatment. She underwent laparoscopic biliopancreatic diversion (BPD) with duodenal switch and laparoscopic vertical sleeve gastrectomy. How is this surgery coded in ICD-10-PCS? Are two bypass codes assigned for the BPD, in addition to a code for the gastric excision? ...
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Article Overview
This premium article addresses ICD-10-PCS coding for a combined bariatric surgery involving laparoscopic biliopancreatic diversion with duodenal switch and sleeve gastrectomy. It is aimed at coding professionals who need to understand how the procedure is broken into component parts and how the related PCS coding approach is applied. The article focuses on bariatric surgery terminology, operative structure, and PCS code assignment for the procedure components.
Why This Topic Matters
Combined bariatric operations can be described in ways that do not map directly to a single procedure term, so coders need a clear understanding of how the operative steps are represented in ICD-10-PCS. This article helps readers identify the relevant procedural components and the associated coding framework used for this type of surgery.
What You Will Learn
- How a combined bariatric procedure is described in procedural terms
- How the surgery is divided into component parts for ICD-10-PCS review
- What broad ICD-10-PCS coding considerations apply to this type of operation
- How laparoscopic bariatric surgery terminology relates to coding structure
Who Should Read This
- Medical coders
- Coding auditors
- Bariatric surgery coding staff
- Revenue cycle professionals
Codes Discussed
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