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

Intraoperative Laceration of Atrial Appendage with Hemopericardium

The patient, who is status post placement of a cardiac pacemaker, presents for pacemaker revision due to the right atrial and ventricular leads not sensing properly. After the right atrial lead was extracted, the surgeon noted a large pericardial effusion. A sternotomy was then performed; the pericardium was opened; and blood was removed. A laceration of the right atrial appendage was found and repaired with suture. What is the appropriate ICD-10-CM code assignment for intraoperative laceration of the right atrial appendage with hemopericardium? Is a traumatic injury code appropriate? ...

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