AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 1; Ask the Editor

Zenker’s Diverticulectomy

A patient with Zenker’s diverticulum and dysphagia presented for diverticulectomy. Prior to the procedure, a laryngoscopy and hypopharyngoscopy revealed a large deep Zenker’s diverticulum, along with a thick hypertrophic cricopharyngeal bar. Endoscopic endocautery was used to create a horizontal mucosal incision over the cricopharyngeal bar and the mucosa was elevated away from the bar. The central portion of the cricopharyngeus muscle was then resected, followed by excision of the Zenker’s sac. The mucosa was then stitched closed. In the Second Quarter 2020 issue of Coding Clinic, the root operation “Division” was advised for Zenker’s diverticulectomy, however, this procedure appears to be performed using a different surgical technique. What are the appropriate root operations for this procedure? ...

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