AHA Coding Clinic® for ICD-9 - 2013 Issue 2; Ask the Editor

Acquired Meningoencephalic Herniation with Repair

The patient had a history of temporal bone fracture and has now developed meningoencephalic herniation and cerebrospinal fluid (CSF) otorrhea, with conductive hearing loss. He was admitted and underwent craniotomy, skull-based repair of the meningoencephalic herniation defect and CSF leak, with split-thickness graft, using calvarial bone and temporalis fascia, harvesting of bone and fascia for grafting, and placement of titanium microplates. During the surgery, intra-operative nerve monitoring was performed. What are the appropriate diagnosis and procedure code assignments? ...

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