AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 1; Ask the Editor

Presacral Abscess

This patient has history of complicated diverticulitis, status post sigmoid colectomy with end colostomy, complicated by recurring pelvic abscesses, secondary to the remaining rectal Hartmann cuff. The surgeon performed a proctectomy, and the abscess was drained. The provider documented the abscess as pelvic, intra-abdominal, and presacral. When queried for clarification, the provider listed “Presacral abscess of unknown etiology.” What is the correct code assignment for an internal presacral abscess? ...

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