AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Ask the Editor

Removal of Silo and Closure of Gastroschisis

The same infant who underwent silo placement on her first day of life presents for removal of silo and final closure of gastroschisis.  The patient was brought to the operating room where the silo was removed and a flap was created between the edge of the skin and the fascia circumferentially around the umbilical defect.  The anterior abdominal fascia was then closed in a longitudinal manner.  How should the removal of silo and final closure of gastroschisis be reported?  Should we report both the removal and closure, or is removal of the silo inherent to the surgical closure of the abdominal wall?  What are the appropriate codes for this procedure? ...

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