AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 2; Ask the Editor

Thoracic Outlet Decompression with Sympathectomy

A patient presented with thoracic outlet syndrome with a component of sympathetic dystrophic pain and vasomotor changes. Surgical intervention included thoracic outlet decompression and sympathectomy. After completing the release of the brachial plexus for the thoracic outlet decompression, the sympathetic nerve chain was circumscribed with a clamp and the sympathectomy was performed at the T2-T3 levels. Is a sympathectomy considered inherent to the brachial plexus release or is a separate code assigned in ICD-10-PCS? ...

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