![]() ![]() The ICD-10-PCS Official Guidelines for Coding and Reporting, Multiple Procedures, Section B3.2b, state, “During the same operative episode, multiple procedures are coded if: The same root operation is repeated in multiple body parts, and those body parts are separate and distinct body parts classified to a single ICD-10-PCS body part value.” Clinical Information: The ICD-10-PCS code can be assigned multiple times for each compartment released (i.e., two compartment fasciotomy, four compartment fasciotomy, etc.). In this case, the fasciotomy meets the root operation definition of “Release ” freeing a body part from an abnormal physical constraint by cutting or by using force. What PCS code(s) are assigned for this procedure? Answer:ĠKNT0ZZ Release left lower leg muscle, open approachĠKNT0ZZ Release left lower leg muscle, open approach Rationale: Anterolateral incision was then made and carried down through the fascia anterolaterally with opening of the fascia on the anterior as well as the lateral compartment. Muscle in these compartments was contractile. With this information, we proceeded with fasciotomy medially decompressing the superficial as well as the deep posterior compartments. For the anterior and lateral compartments the measurement was 32, for the posterior compartment superficial and deep, it was 34. Procedure: The compartment pressures of the patient’s four compartments were measured. Postoperative diagnosis: status post polytrauma left lower extremity status post motorcycle accident with elevated compartment pressure for the lateral as well as the medial compartments. Fasciotomy for Compartment Syndrome Scenario:
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |