AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor

Radical Resection of Level I Lymph Nodes

A patient with adenoid cystic carcinoma underwent resection of the parotid tail with sacrifice of the marginal mandibular branch of the facial nerve, resection of the parapharyngeal space, and bilateral radical resection of level I lymph nodes. The ICD-10-PCS Reference Manual, page 39, states “when an entire lymph node chain is cut out, the appropriate root operation is resection. When a lymph node(s) is cut out, the root operation is excision.” What is the correct ICD-10-PCS code assignment for radical resection of the level I lymph nodes?  ...

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