AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 1; Ask the Editor
Lymphovenous Bypass Following Mastectomy
Following a left modified radical mastectomy, a lymphovenous bypass was performed to reroute the lymphatic channels into the veins in order to prevent potential blockage in the lymphatic system and allow excess lymph fluid to flow freely. What is the correct ICD-10-PCS code for a lymphovenous bypass procedure? There is no table with the root operation “Bypass” in the Lymphatic and Hemic Systems body system section. Would the root operation “Drainage” be appropriate? ...
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Article Overview
This premium article explains how a post-mastectomy lymphovenous bypass is handled in ICD-10-PCS. It is relevant to coders working with breast surgery, lymphatic procedures, and procedure classification questions involving the Lymphatic and Hemic Systems section. The article focuses on the coding approach, the body-system limitations involved, and the related guidance that supports code selection.
Why This Topic Matters
Procedure coding in the lymphatic system can be challenging when the desired root operation is not available in the code set. This article helps coders understand the relevant ICD-10-PCS framework for a specialized post-mastectomy procedure.
What You Will Learn
- How a lymphovenous bypass after mastectomy is framed for ICD-10-PCS coding
- What coding issue arises when the expected root operation is not available in the lymphatic system
- How the article discusses the procedure classification context for this type of surgery
- What guidance is presented for selecting the applicable ICD-10-PCS code
Who Should Read This
- Medical coders
- Coding auditors
- Inpatient coding professionals
- Health information management professionals
Codes Discussed
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