AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 3; Ask the Editor

Plication of Diaphragm

A patient with respiratory embarrassment, elevation and partial paresis of the diaphragm presented for diaphragm plication. While in left lateral decubitus position, the chest was entered through the 6th interspace and multiple camera ports were placed. With gas insufflated, the diaphragm came down relatively nicely. It was completely flaccid. The diaphragm was plicated with three double mattress sutures with a pledget at both ends. This resulted in a substantial flattening of the diaphragm. Once all instrument and sponge counts were correct, the wounds were irrigated with antibiotic solution, and the ports were removed. How is this procedure coded in ICD-10-PCS? ...

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