AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 2; Ask the Editor
Transverse Abdominomyocutaneous (TRAM) Breast Reconstruction
The patient is status post left mastectomy for breast cancer. An ipsilateral pedicle transverse abdominomyocutaneous (TRAM) flap breast reconstruction was performed. The TRAM flap was elevated off the underlying abdominal wall, leaving the medial and lateral rows of anterior rectus sheath perforators intact on the left side. The resulting muscle flap was passed through the tunnel into the left breast. What are the appropriate ICD-10-PCS code assignments for this procedure? Under the term, reconstruction in the Index to Procedures of ICD-10-PCS, there are instructions to see repair, replacement and supplement. ...
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Article Overview
This premium article focuses on ICD-10-PCS coding for a transverse abdominomyocutaneous (TRAM) flap breast reconstruction after mastectomy. It is intended for coders and revenue cycle professionals who work with breast reconstruction, plastic surgery, and inpatient procedure coding. The article discusses how the procedure is approached in the ICD-10-PCS index and presents the relevant code assignment information in the context of postoperative breast reconstruction.
Why This Topic Matters
TRAM flap breast reconstruction is a specialized procedure that can be coded differently from other reconstructive surgeries, so accurate identification of the ICD-10-PCS procedure framework is important for compliant inpatient coding and documentation review.
What You Will Learn
- How the article frames TRAM flap breast reconstruction within ICD-10-PCS
- Which ICD-10-PCS procedure family is implicated for this reconstruction topic
- How postoperative breast reconstruction cases are discussed in the coding context
- How the article relates the procedure to the ICD-10-PCS index structure
Who Should Read This
- Inpatient coders
- Outpatient coders
- Coding auditors
- Clinical documentation improvement specialists
- Revenue cycle professionals
Codes Discussed
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