AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 2; Ask The Editor

Cryoamputation of Lower Leg

The patient presented with fever/chills, weakness and worsening left lower extremity pain. He was diagnosed with sepsis and acute arterial insufficiency of the left lower extremity with plan for surgical amputation after resolution of the sepsis. The patient’s clinical status was deemed unstable for surgical amputation; therefore, cryoamputation was performed. The leg was inserted into a cooler and surrounded by dry ice; the cooler was then taped and sealed to prevent any cold air escape.  How should cryoamputation of the left leg be coded in ICD-10-PCS? ...

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