AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Ask the Editor
Ureteral Stent Placement for Urinary Leakage
A 73-year-old patient, who is status post partial right nephrectomy due to renal cell carcinoma, presented due to a urine leak with a urinary fistula and retroperitoneal fluid collection. Urinary diversion was performed by placing a right ureteral stent. A double J ureteral stent was placed with the proximal curl in the upper pole calyx and the distal curl in the bladder. What is the appropriate root operation for this procedure? ...
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Article Overview
This article reviews a urinary leakage scenario after partial nephrectomy and discusses how the procedure is classified in ICD-10-PCS. It is intended for inpatient coders, coding educators, and CDI staff who need to understand how urinary diversion procedures are represented in the PCS system. The article focuses on the clinical context, the relevant body system and root operation concepts, and the final code assignment presented by the source.
Why This Topic Matters
Urinary diversion procedures can be coded differently depending on the operative intent and approach, so accurate understanding of the case context is important for inpatient coding consistency.
What You Will Learn
- How a postoperative urinary leak and fistula scenario is approached for ICD-10-PCS coding.
- How the article frames urinary diversion within the inpatient procedure coding system.
- What general clinical and procedural factors are relevant to the case.
- How the source presents the final ICD-10-PCS assignment.
Who Should Read This
- Inpatient coders
- Coding educators
- Clinical documentation integrity specialists
- Health information management professionals
Codes Discussed
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