AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 2; Ask the Editor
Malone Antegrade Continence Enema Procedure
The patient is a 12-year-old male with a longstanding history of chronic constipation, who is admitted to undergo Malone Antegrade Continence Enema (MACE) procedure. During the procedure, a normal appearing appendix was identified. After adequate mobilization, in an open fashion, the appendix and cecum were delivered through the wound and isolated. The tip of the appendix was dissected off and sutures were used for plication of the appendix to the cecum. The base of the appendix and cecum were then secured to the fascia at the level of the umbilicus. The appendix was cut to length so that only a small cusp remained above the level of the skin. This was sewn around the skin in order to fix the superior portion of the appendicostomy to the skin. How is the MACE procedure coded in ICD-10-PCS? ...
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Article Overview
This article explains the coding topic for a Malone antegrade continence enema procedure and presents an operative narrative involving creation of an appendicostomy for bowel management. It is intended for coding professionals and other revenue cycle staff who work with inpatient procedural coding and need to understand the broad ICD-10-PCS context of this type of surgery.
Why This Topic Matters
Procedural documentation for specialized bowel management surgery can be complex, and correct identification of the relevant ICD-10-PCS category is important for accurate inpatient coding, reporting, and record review.
What You Will Learn
- How the article frames ICD-10-PCS coding for a Malone antegrade continence enema procedure
- What type of operative information is documented in the procedure narrative
- How specialized surgical documentation is presented for coding review purposes
- The general inpatient procedural coding context for this surgery
Who Should Read This
- Inpatient coders
- Coding auditors
- Revenue cycle professionals
- Clinical documentation specialists
- HIM professionals
Codes Discussed
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