AHA Coding Clinic® for ICD-9 - 2013 Issue 1; Ask the Editor - ICD-9-CM Coding

Transsphenoidal Resection of Pituitary Tumor with Placement of Fat Graft

A patient is diagnosed with pituitary adenoma with suprasellar extension. The surgeon performed a translabial transsphenoidal craniotomy and resection of pituitary macroadenoma. A fat graft was harvested from the abdomen. Cerebral spinal fluid was leaking; therefore, a decision was made to place a lumbar drain. What are the appropriate procedure codes for this case? Is it appropriate to assign an additional procedure code for a fat graft when the fat graft is used to fill a void following resection of a pituitary tumor?  ...

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