AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Quarter 1; Ask the Editor
Failed Lumbar Puncture
A patient presented for diagnostic lumbar puncture due to subarachnoid hemorrhage. The needle was advanced into the lumbar subarachnoid space. Despite attempts, no cerebrospinal fluid could be obtained. What is the procedure code assignment for the procedure? ...
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Article Overview
This premium article explains how to think about an unsuccessful lumbar puncture procedure in the context of ICD-10-PCS coding. It is aimed at coding professionals who need to understand how attempted procedures are categorized when the intended fluid removal is not completed, and it highlights the relevant procedure classification concepts used in facility coding.
Why This Topic Matters
Failed or incomplete procedures can change code assignment and affect claim accuracy, auditing, and coding consistency. This article helps readers understand the general framework used to classify an attempted spinal procedure when the intended outcome is not achieved.
What You Will Learn
- How an unsuccessful lumbar puncture is categorized for procedure coding
- How attempted procedures are discussed within ICD-10-PCS
- Which broad coding concepts are relevant when fluid is not obtained during a spinal procedure
- How facility coders approach incomplete diagnostic procedures
Who Should Read This
- Hospital inpatient coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle professionals
Codes Discussed
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