AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 1; Ask the Editor

Repair of Stage 4 Pressure Ulcer and Application of Amniofill®

A patient is admitted for surgical excision and myocutaneous flap reconstruction of stage IV pressure ulcers of the right ischium and sacrum. Both ulcers were completely excised from surrounding healthy tissue by the use of electrocautery down to the sacrum and coccyx. Myocutaneous flaps were developed; the wounds were irrigated, and prior to flap advancement closure, the surgeon placed AmnioFill® into both the sacral and ischial wounds over the sacrum. In this case, it appears the AmnioFill® was not a skin replacement. What is the correct ICD-10-PCS code for the placement of AmnioFill® into the ischial and sacral wounds? ...

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