AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 2; Ask the Editor
Urinary Calculi Fragmentation and Evacuation
A patient presents for transurethral treatment of a calculus of the left renal pelvis via ureteroscopy. The endoscope was inserted, the stone was initially fragmented by laser lithotripsy, and some of the remaining fragments were removed endoscopically by basket via the bladder. What is the appropriate body part value as well as the root operation, fragmentation or extirpation? ...
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Article Overview
This article explains how to think about ICD-10-PCS coding for a urinary calculi procedure performed with ureteroscopy, laser lithotripsy, and endoscopic removal of fragments. It is aimed at coders and reimbursement professionals who need to understand the relevant PCS concepts and how the article frames the distinction between procedure categories for stone treatment.
Why This Topic Matters
Urinary stone procedures often involve more than one operative step, so correct ICD-10-PCS classification depends on understanding the article’s discussion of the overall procedure category and related PCS guidance. This matters for accurate inpatient procedure coding and consistent abstracting of endoscopic stone treatment cases.
Article Sections
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Clinical scenario and coding question
Introduces a urinary stone case performed through a ureteroscopic approach and poses the coding question addressed by the article.
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ICD-10-PCS interpretation of stone removal
Summarizes the article’s discussion of how the procedure is classified in ICD-10-PCS and the broader PCS concept being applied.
What You Will Learn
- How the article frames ICD-10-PCS classification for an endoscopic urinary stone procedure.
- What PCS concepts are discussed in relation to fragmentation and stone removal.
- Why the article focuses on the overall operative objective rather than only the preliminary step.
- How the procedure is presented in relation to ICD-10-PCS terminology.
Who Should Read This
- Inpatient coders
- Clinical documentation integrity specialists
- Health information management professionals
- Coding auditors
- Revenue cycle professionals
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