AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 3; Ask the Editor
Vascular Ring Surgery and Double Aortic Arch
A nine-year-old girl with a diagnosis of vascular ring and double aortic arch presents for division of the ring. At surgery, a left thoracotomy was carried out, a small ligamentum arteriosus was identified, and divided with electrocautery. The left aortic arch was revealed and circumferentially dissected, ligated and divided. After division of the ligamentum, there was no apparent compression to the esophagus. What are the appropriate PCS codes for this procedure? ...
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Article Overview
This premium article addresses an ICD-10-PCS coding question involving operative management of a vascular ring and double aortic arch. It is aimed at coders and revenue cycle professionals who need to understand how the procedure is approached in ICD-10-PCS and what broad coding considerations are involved for this type of surgery.
Why This Topic Matters
Procedures involving congenital vascular anomalies can be difficult to code because the operative anatomy and available ICD-10-PCS options do not always align neatly. This article helps readers evaluate the coding framework used for this kind of surgery and assess whether the topic matches their coding needs.
What You Will Learn
- How the article frames ICD-10-PCS coding for a vascular ring surgery case
- What general procedural and anatomic issues are involved in coding double aortic arch surgery
- How the article approaches selecting ICD-10-PCS categories for this type of operation
- Why congenital vascular ring procedures may require careful ICD-10-PCS interpretation
Who Should Read This
- Inpatient coders
- Coding auditors
- Clinical documentation integrity professionals
- Revenue cycle staff
- Health information management professionals
Codes Discussed
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