Full Answer
The patient experienced an obstetrical periurethral laceration during delivery. What is the correct body part for suture repair of an obstetrical periurethral laceration? ICD-10-PCS coding guideline B4.1 states that when a body part site is prefixed with “peri” the procedure should be coded to the body part named.
It discusses the case of a 25-year-old patient who had a normal spontaneous vaginal delivery at 39 weeks gestation and suffered a second degree perineum laceration. The repair involved suturing of the muscle. In this instance, Coding Clinic says to assign code 0KQM0ZZ, repair perineum muscle, open approach.
A second-degree laceration/tear involve injury to the vaginal wall and perineal muscle, but does not extend down into the anal sphincter muscle. My advice would be to assign the ICD-10-PCS code 0KQM0ZZ.
The repair involved suturing of the muscle. In this instance, Coding Clinic says to assign code 0KQM0ZZ, repair perineum muscle, open approach. In ICD-10-PCS, an “open” approach is defined as cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure.
0 for Encounter for attention to dressings, sutures and drains is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Resection is similar to excision except it involves cutting out or off, without replacement, all of a body part. Resection includes all of a body part or any subdivision of a body part having its own body part value in ICD-10-PCS, while excision includes only a portion of a body part.
Laceration without foreign body of other part of head, initial encounter. S01. 81XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The ICD-10-PCS code for a laparotomy with removal of the gallbladder is 0FT40ZZ, with the fifth character of the code (0) indicating that the procedure was performed via an open approach.
All ICD-10-PCS codes have an alphanumeric structure, with all codes made up of seven characters. All complete ICD-10-PCS codes can be located within the Index. The letters "O" and "I" are not used as ICD-10-PCS values so as not to be confused with the digits "0" and "1."
Surgical excision removes the entire cyst but requires a larger hole in the skin. A punch incision makes a smaller hole through which the cyst can be removed.
Laceration without foreign body of unspecified hand, initial encounter. S61. 419A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S61.
Repair-Root Operation Q This root operation is used only when the method to accomplish the repair is not one of the other root operations. The repair root operation represents a broad range of procedures for restoring the anatomic structure of a body part such as suture of lacerations.
Root Operation Q: Repair Fixation devices are included for procedures to repair the bones and joints. Some examples of Repair procedures are colostomy takedown, herniorrhaphy, and suture of laceration.
ICD-10-PCS Code 0DB80ZZ - Excision of Small Intestine, Open Approach - Codify by AAPC.
0DJW0ZZICD-10-PCS 0DJW0ZZ converts approximately to: 2015 ICD-9-CM Procedure 54.11 Exploratory laparotomy.
A laparotomy is a surgical incision (cut) into the abdominal cavity. This operation is performed to examine the abdominal organs and aid diagnosis of any problems, including abdominal pain. In many cases, the problem – once identified – can be fixed during the laparotomy. In other cases, a second operation is required.