AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor
Photodynamic Therapy for Treatment of Malignant Mesothelioma
The patient is a 61-year-old man recently discovered to have left hemithorax malignant mesothelioma involving the diaphragm. After resection of the tumor, including the pleura and lymph nodes, the patient underwent extensive intraoperative photodynamic therapy of the left diaphragm, the pericardium and the left pleura to eliminate any evidence of microscopic disease. What is the appropriate root operation for the photodynamic therapy? ...
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Article Overview
This article covers a medical coding scenario involving photodynamic therapy used during surgery for malignant mesothelioma. It is intended for coders and coding professionals reviewing ICD-10-PCS procedure assignment for intraoperative treatment across multiple anatomic sites. The discussion focuses on how the procedure is characterized in ICD-10-PCS and why separate procedure coding is relevant when more than one site is treated.
Why This Topic Matters
Photodynamic therapy in an operative setting can raise questions about how to classify the procedure and whether multiple anatomic sites require separate reporting. Understanding the article helps readers recognize the ICD-10-PCS concepts involved in this type of post-resection treatment.
What You Will Learn
- How this photodynamic therapy scenario is framed in ICD-10-PCS terms
- How the article approaches procedure coding for treatment performed at more than one anatomic site
- What general coding topic is raised by intraoperative therapy after tumor resection
- Why this type of case is relevant to ICD-10-PCS procedure assignment
Who Should Read This
- Medical coders
- Coding auditors
- Health information management professionals
- CDI specialists
- Reimbursement and compliance staff
Codes Discussed
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