AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2025 Issue 2; Ask the Editor

Retained Foreign Body Intentionally Left During Procedure

A patient with a left anterior acetabular fracture was admitted for surgical correction of the left ilium. A broken drill tip within the left ilium was noted as a complication in the operative report. The provider documented that the morbidity and risk of removing the drill tip from within the bone outweighed the risk of leaving the broken tip within the ilium. Is it appropriate to assign code T81.590A, Other complications of foreign body accidentally left in body following surgical operation, initial encounter, for the retained drill tip of the left ilium? ...

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