AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 1; Ask the Editor
Repair of Bronchopleural Fistula Using Omental Pedicle Graft
A patient, who is status post right pneumonectomy, was admitted with a bronchopleural fistula. During surgery, an omental flap was used to repair the fistula at the level of the main bronchus. The omentum was mobilized from the transverse colon and the stomach and passed into the right hemithorax where it was used to cover the fistula. In ICD-10-PCS, the root operation “Transfer” is defined as moving without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part, and appears to meet the objective of this surgery. However there is no “body part” to indicate that the transfer involved the omentum. What is the appropriate ICD-10-PCS procedure code for the repair of the bronchopleural fistula using an omental pedicle graft? ...
Subscribe or sign in to view the full article.
Article Overview
This premium article explains a postoperative thoracic surgery scenario and the ICD-10-PCS framework used to think through procedure reporting for a bronchopleural fistula repaired with an omental flap. It is aimed at coders and coding professionals who need to understand how the article approaches procedure classification, body-part terminology, and root operations in ICD-10-PCS.
Why This Topic Matters
Thoracic postoperative complications and reconstructive repairs can be difficult to translate into ICD-10-PCS because the procedure anatomy and the available body-part values do not always align neatly. This article helps readers understand the coding context for a complex repair involving transferred tissue and why it is relevant to accurate inpatient procedure reporting.
What You Will Learn
- How the article frames an ICD-10-PCS procedure coding question for a thoracic fistula repair.
- How reconstructive use of an omental pedicle graft is discussed in relation to ICD-10-PCS terminology.
- What general ICD-10-PCS concepts are relevant to procedure selection in this scenario.
- How body-part terminology can affect coding analysis in complex surgical repairs.
Who Should Read This
- Inpatient coders
- Health information management professionals
- Coding educators
- Clinical documentation specialists
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com