AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor
Le Fort I Osteotomy
The patient is a 20-year-old male with maxillary hypoplasia. He underwent a Le Fort 1 osteotomy with extraction (open) of impacted teeth, insertion of internal fixation device, and placement of a custom surgical splint. Would the root operation be reposition or repair? How should this case be coded? ...
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Article Overview
This article reviews how to approach coding a maxillary osteotomy case in which maxillary hypoplasia is the underlying diagnosis. It focuses on the ICD-10-CM diagnosis selection and the ICD-10-PCS root operation concept involved in the procedure, along with related operative details that affect case coding. The content is intended for coders and others who need to understand how the case is classified in official coding terms.
Why This Topic Matters
Procedures involving facial bone repositioning can be coded differently depending on the operative intent and the procedure terminology used. This article helps readers understand the coding framework for a specific orthognathic surgery scenario.
What You Will Learn
- How this orthognathic surgery scenario is framed for coding
- Which code sets are implicated by the case discussion
- How the procedure is categorized at a high level within ICD-10-PCS terminology
- How the associated diagnosis is identified in ICD-10-CM
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement staff
- Revenue cycle professionals
Codes Discussed
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