AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Quarter 4; New/Revised ICD-10-PCS Codes Section 0 - Medical and Surgical
Bladder Augmentation
A patient with urinary incontinence underwent an augmentation cystoplasty. A midline incision was made, and the bladder was exposed, bivalved and opened fully from the bladder neck to the trigone. A segment of ileum was selected that could reach the native bladder without tension. The mesentery was cleared and the ileum was folded, shaped and anastomosed to the bivalved bladder in two-layered absorbable sutures. What is the appropriate ICD-10-PCS code for bladder augmentation using a segment of ileum that remains attached to its vascular and nervous supply? ...
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Article Overview
This article reviews an ICD-10-PCS table change affecting bladder augmentation procedures and shows how the update applies to a representative operative scenario. It is useful for inpatient coders, CDI staff, and clinical documentation teams who work with urologic reconstruction and ICD-10-PCS body-part qualifiers. The discussion focuses on the PCS table structure, the new bladder qualifier, and the type of procedure representation needed for augmentation cystoplasty.
Why This Topic Matters
Bladder augmentation procedures can be coded differently depending on the PCS table and body-part qualifier used, so understanding the update helps support accurate inpatient procedure reporting and documentation review.
What You Will Learn
- How a PCS table update affects coding for bladder augmentation procedures
- Why the bladder qualifier matters in the context of intestinal transfer procedures
- How a representative augmentation cystoplasty scenario is mapped in ICD-10-PCS
- What documentation features are relevant when reviewing this type of reconstructive urologic procedure
Who Should Read This
- Inpatient coders
- Clinical documentation integrity specialists
- Coding educators
- Urology procedure abstractors
Codes Discussed
Code Ranges Discussed
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