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A patient diagnosed with ruptured left-sided transverse-sigmoid sinus dural arteriovenous fistula or malformation (AVM) underwent endovascular Onyx-18 liquid embolization. The provider documented s...
The Onyx-18 ...
A patient with right femoral occlusion and ischemic rest pain underwent bovine patch arterioplasty. In ICD-10-PCS, the root operation “Supplement” right femoral artery directs the coder to 04UK...
“Zooplasti...
A patient was taken to the operating room for laparoscopic revision of her gastric band. Following the revision, the area of the tubing as well as the left upper quadrant was instilled with a solut...
In this case...
The patient presented with a ventral hernia and underwent abdominoplasty and abdominal wall plication. At surgery, the horizontal component was cut through deep dermal layers and subcutaneous fat f...
For abdomino...
A patient was admitted for repair of a recurrent incisional hernia with incarceration and small bowel obstruction. At surgery, after the hernia was excised, the fascia was assessed. On both sides o...
The abdomina...
A 59-year-old female, status post laparoscopic Roux-en-Y gastric bypass is diagnosed with gastrojejunostomy stricture. The patient presents for esophagogastroduodenoscopy and dilation. The gastroje...
Since the di...
A 57-year-old male with low rectal cancer presents for abdominoperineal resection (APR) of the rectum with reconstruction to follow. A cylindrical APR was performed, along with excision of the sigm...
Yes, the res...
This same patient underwent reconstruction of the perineum immediately following the APR. The resection resulted in a 6x10 centimeter defect, and was repaired using a right fascial sparing two-vess...
Because the ...
The above patient also had colostomy creation at the same time that the lower anterior resection of the rectum was performed. Should the colostomy be coded?
...Yes, creatio...
When a right colectomy is performed with side-to-side functional end-to-end anastomosis, is it appropriate to report an additional code for the side-to-side anastomosis?
...Do not assig...