AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 1; Ask the Editor

Preparatory Nasal Adhesion Repair Before Definitive Cleft Palate Repair

A three-month-old with multiple congenital anomalies, including bilateral cleft lip and palate with premaxillary segment presents for nasal adhesion repair prior to definitive repair of the cleft. During surgery, wedge osteotomy of the premaxillary segment was made and the excess vomer was excised. The premaxillary segment was then greenstick fractured posteriorly into the correct position for the alveolar arch. The vomer flaps were then closed with sutures. Bilateral gingival buccal sulcus incisions were made. Dissection was carried out over the cheek substance in and around the lateral edges of the ala. Sutures were placed through the right lateral cheek element across the premaxilla into the left cheek element and then in the right cleft lip. The gingival buccal sulcus incisions were advanced and closed with sutures. Prolene sutures were then tied and a small pocket made in the right side to push this into the right lip. The anterior segment on both sides were then closed. What is the appropriate root operation for nasal adhesion repair of the cleft lip and palate?  ...

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