AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 2; Ask the Editor
Oasis Acellular Matrix Graft
A patient diagnosed with left buccal intraoral lymphatic malformation, underwent excision of the lesion, and grafting with Oasis® acellular matrix. In ICD-10-PCS, is the appropriate device character “synthetic substitute” or “nonautologous tissue substitute,” for this type of graft? ...
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Article Overview
This short coding article addresses an ICD-10-PCS grafting scenario involving a biologic acellular matrix product and focuses on how the source of the graft material affects device-character selection. It is intended for coders and auditors who work with procedure coding for grafts and related device classifications. The discussion is narrowly centered on the material basis of the product and the general distinction between biologic and synthetic categories in ICD-10-PCS.
Why This Topic Matters
Correctly identifying the broad device category in ICD-10-PCS is important for procedure code accuracy and consistent reporting when graft materials are involved.
What You Will Learn
- How an acellular matrix graft scenario is framed in ICD-10-PCS
- How the material source of a graft is discussed at a high level
- How graft product classification relates to ICD-10-PCS device-character selection
- What general considerations apply when more than one material type is involved
Who Should Read This
- Medical coders
- Coding auditors
- Health information management professionals
- Procedure coding reviewers
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