AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2013 Issue 4; Ask the Editor
Laser Lithotripsy with Removal of Fragments
A patient with right proximal ureteral calculi is admitted to undergo a laser lithotripsy. A rigid ureteroscope was negotiated up the right ureter to the stone. Using the Holmium laser, the stone was fragmented into multiple pieces, all of which were individually basketed. The ureteroscope was removed and the patient was taken to the recovery room in stable condition. How should this procedure be coded in ICD-10-PCS? ...
Subscribe or sign in to view the full article.
Article Overview
This premium article covers a procedural coding example in ICD-10-PCS for ureteral stone management using laser lithotripsy with removal of fragments. It is aimed at coders and clinical documentation specialists who need to understand how the procedure is represented in the procedure code system and how the index directs them for this type of case. The discussion is centered on procedure classification, endoscopic context, and the relationship between fragmentation and removal of material in ICD-10-PCS.
Why This Topic Matters
Articles like this help coders translate operative documentation into the correct ICD-10-PCS procedure representation, especially when multiple procedural actions are described in one encounter.
What You Will Learn
- How an ICD-10-PCS procedure scenario involving ureteral stone treatment is approached
- How the procedure index guidance relates to the reported encounter
- How the article frames the relationship between fragmentation and removal in the coding context
- How a final ICD-10-PCS assignment is presented for the case
Who Should Read This
- Inpatient coders
- Clinical documentation specialists
- Coding educators
- Revenue cycle professionals
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com