AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Quarter 3; Ask the Editor
Drainage of Pancreatic Pseudocyst
A patient with known pseudocyst of the pancreas is admitted for endoscopic retrograde cholangiopancreatography (ERCP) and pseudocyst drainage. Multiple balloon sweeps were made of the common bile duct and a 10 French x 7 plastic biliary stent was successfully deployed across the papilla. Then the pancreatic pseudocyst was punctured and aspirated, and a tube placed for continued drainage from the pancreatic pseudocyst to the stomach using ultrasound guidance. What are the appropriate ICD-10-PCS procedure code assignments? ...
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Article Overview
This premium article explains ICD-10-PCS procedure coding for a pancreatic pseudocyst drainage encounter performed with endoscopic and ultrasound guidance. It is aimed at coding professionals who need to interpret the procedure documentation and understand which broad procedural elements are represented in the final code assignment.
Why This Topic Matters
Pancreatic pseudocyst drainage cases can involve multiple procedural components in a single encounter. Accurate interpretation of the documentation and procedure structure is important for correct ICD-10-PCS reporting.
What You Will Learn
- How the encounter is characterized for ICD-10-PCS procedure coding
- How related procedural elements are grouped in the discussion
- What broad coding assignment issue the article addresses for this type of case
- How documentation context affects procedure coding review for pancreatic pseudocyst drainage
Who Should Read This
- Inpatient coders
- Clinical coding auditors
- HIM professionals
- Revenue cycle staff
- Coding educators
Codes Discussed
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