AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 3; Ask the Editor

Failed/Nonviable Phalloplasty

A 32-year-old patient with a history of gender dysphoria was admitted for radial forearm phalloplasty. Following the radial forearm flap phalloplasty, the flap was assessed intraoperatively with a Doppler and no signal was found. An intraoperative consult was obtained, and extensive clotting was found in the microcirculation of the flap resulting in flap malperfusion and vascular compromise. The final diagnosis was failed radial phalloplasty secondary to microcirculatory clot burden. What is the appropriate diagnosis for the failed forearm flap phalloplasty? ...

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