AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Ask the Editor
Laparoscopic Esophagomyotomy (Heller Type) and Toupet Fundoplication
A patient diagnosed with achalasia underwent laparoscopic esophagomyotomy (Heller type) and Toupet fundoplication. The provider completed myotomy of the esophagus and stomach. The provider sutured the posterior aspect of the stomach to the cut side of the myotomy on the right side, and sutured the anterior stomach to the cut side of the myotomy on the left side, giving a nice Toupet fundoplication that held open the myotomy site. What is the correct ICD-10-PCS code for laparoscopic esophagomyotomy (Heller type) and Toupet fundoplication to treat achalasia? ...
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Article Overview
This premium article discusses how a laparoscopic achalasia procedure involving esophageal myotomy and Toupet fundoplication is represented in ICD-10-PCS. It is intended for coding professionals who need to understand the procedural coding framework, the relevant anatomy, and how the article approaches the major components of the operation without relying on the full premium text.
Why This Topic Matters
Achalasia procedures can involve multiple operative components that affect ICD-10-PCS code selection. This article helps readers understand the scope of the procedure and the coding concepts being applied so they can evaluate whether the full guidance is relevant to their work.
What You Will Learn
- How the article frames the laparoscopic treatment of achalasia in ICD-10-PCS terms
- Which procedural components are discussed as part of the operation
- How the article approaches coding concepts for myotomy and fundoplication
- Why the article is relevant to inpatient procedural coding review
Who Should Read This
- ICD-10-PCS coders
- Inpatient coding professionals
- Coding auditors
- Clinical documentation specialists
- Health information management staff
Codes Discussed
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