AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 1; Ask the Editor

Hepatic Flexure versus Transverse Colon

There seems to be a discrepancy in the ICD-10-CM and ICD-10-PCS classification of hepatic flexure of the colon. ICD-10-CM classifies the hepatic flexure to the transverse colon, while the ICD-10-PCS body part key classifies it to the ascending colon. For example, code D12.3, Benign neoplasm of the transverse colon, is assigned for a diagnosis of adenomatous polyp of the hepatic flexure, but the excision of the polyp would be assigned to code 0DBK8ZZ, Excision of ascending colon, via natural or artificial opening endoscopic. Could Coding Clinic provide guidance when the sites don’t match? ...

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