AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Quarter 4; New/Revised ICD-10-PCS Codes
Control of Epistaxis
The patient has intermittent epistaxis with a drop in hemoglobin. Rigid nasal endoscopic guidance is used to apply silver nitrate to a site of bleeding 4 centimeters back on the mid septum soft tissue next to the inferior turbinate. How should this be coded? ...
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Article Overview
This article covers an ICD-10-PCS table update for procedures involving control of bleeding in the ear, nose, and sinus body system, along with the related ICD-10-CM diagnosis for epistaxis. It is aimed at coding professionals who need to understand how the update affects procedure reporting for nasal bleeding scenarios and how the diagnosis is captured in the medical record. The content focuses on the scope of the new table, the body part involved, and a worked coding example.
Why This Topic Matters
Accurate reporting of epistaxis-related encounters depends on understanding when a nasal bleeding control procedure falls under the updated ICD-10-PCS structure. The article helps coders recognize the coding framework change and its relevance to respiratory and ENT procedures.
Article Sections
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ICD-10-PCS table update for nasal bleeding control
Introduces a new table in the ear, nose, and sinus body system and explains the general purpose of the update. The section places the change in the context of procedures involving nasal mucosa and soft tissue.
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Clinical example and coding application
Presents a brief patient scenario involving intermittent nasal bleeding and endoscopic treatment. The section shows how the diagnosis and procedure are reported in relation to the example.
What You Will Learn
- The scope of an ICD-10-PCS table update related to nasal bleeding control.
- How epistaxis is addressed in diagnosis coding for the scenario discussed.
- How a clinical example is used to illustrate the coding topic.
- The relationship between endoscopic guidance and procedure reporting in the article's example.
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle staff
- ENT coding professionals
Codes Discussed
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