Removal of Nonviable Transverse Rectus Abdominis Myocutaneous (TRAM) Flaps

A 40-year-old patient, status post bilateral mastectomies, presents for transverse rectus abdominis myocutaneous (TRAM) flap removal due to bilateral nonviable free flap. At surgery, complete removal of left TRAM free flap was performed. On the right side, the nonviable inferior portion of the free flap was removed. How is the removal of bilateral TRAM free flap coded? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article explains how to approach coding for removal of nonviable TRAM flap tissue after bilateral mastectomies. It is aimed at coding professionals who work with inpatient procedure coding and need to understand the general ICD-10-PCS context, body part selection, and procedure identification issues involved in breast reconstruction revisions.

Why This Topic Matters

Accurate procedure coding depends on selecting the correct body part and procedure category when postoperative reconstruction tissue is removed. This topic is especially relevant for facilities coding breast reconstruction-related inpatient surgery.

What You Will Learn

  • How the article frames the coding question for removal of nonviable breast reconstruction tissue
  • How the discussion relates the surgical site to ICD-10-PCS body part assignment
  • What general type of procedure coding issue is involved in TRAM flap removal cases
  • Why postoperative breast reconstruction revisions require careful inpatient procedure code selection

Who Should Read This

  • Hospital inpatient coders
  • ICD-10-PCS coding specialists
  • Health information management staff
  • Coding auditors and educators

Codes Discussed


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