coding clinic for excisional debridment

lsipos@monument.healthlsipos@monument.health
in CDI Talk Archive
WHILE JUST LISTENING TO THE ACDIS CALL I HEARD something mentioned about a new coding clinic for EXCISIONAL debridement that "just came out"...for ICD-10 relative to the new root operation. I cannot locate the coding clinic...

Does anyone know of this coding clinic????

TIA!

Juli

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Comments

  • april.mcclaffertyapril.mcclafferty
    edited March 2016
    Nonexcisional debridement of cranial wound with removal and replacement of hardware

    Coding Clinic, Third Quarter ICD-10 2015 Pages: 13-14 Effective with discharges: October 7, 2015
    Question:
    The patient has a history of subdural hematoma evacuation and cranioplasty due to traumatic brain injury. He was readmitted for surgical treatment of subdural empyema, infection, and wound breakdown. At surgery, the previous incision was reopened, the skull hardware was removed, and the bone flap opened. Nonexcisional debridement was performed, removing all infectious material in the cranial wound and subdural and epidural areas. The flap was then re-secured, new plates and screws were placed and the wound closed. How should this procedure be coded?
    Answer:
    Assign the following ICD-10-PCS codes for the procedures performed:
    00D20ZZ

    Extraction of dura mater, open approach, for peeling off the dural flap with nonexcisional debridement of infectious material in and below the dural layer





    0NH004Z

    Insertion of internal fixation device into skull, open approach, for putting in the new skull hardware





    0NP004Z

    Removal of internal fixation device from skull, open approach, for taking out the old skull hardware

    (c) Copyright 1984-2015, American Hospital Association ("AHA"), Chicago, Illinois. Reproduced with permission. No portion of this publication may be copied without the express, written consent of AHA.


    Thanks,

    April McClafferty RN, CDS
    HIM Dept
    Baylor All Saints Medical Center
    Fort Worth, TX
    Ph: 817-922-2221
    april.mcclafferty@baylorhealth.edu

  • m.leblancm.leblanc
    edited March 2016


    Here is more and what we were referring to on the call:


    Excisional and nonexcisional debridement

    Coding Clinic, Third Quarter ICD-10 2015 Page: 3 Effective with discharges:
    October 7, 2015

    There are references to other CC on this page as well for you to click on
    and read.



    Thanks,

    Mark

    MARK LEBLANC, RN, MBA, CCDS

    Senior Consultant - CDI SERVICES



    952-353-3505

    m.leblanc@thewilshiregroup.net







  • katysuegood@gmail.comkatysuegood@gmail.com
    edited March 2016
    Do you have a full copy of the coding clinic on page 3 of the third quarter coding clinic? I am waiting for a 3M update.

    Thanks!

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404

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