AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 2; Ask the Editor

Malone Antegrade Continence Enema Procedure

The patient is a 12-year-old male with a longstanding history of chronic constipation, who is admitted to undergo Malone Antegrade Continence Enema (MACE) procedure. During the procedure, a normal appearing appendix was identified. After adequate mobilization, in an open fashion, the appendix and cecum were delivered through the wound and isolated. The tip of the appendix was dissected off and sutures were used for plication of the appendix to the cecum. The base of the appendix and cecum were then secured to the fascia at the level of the umbilicus. The appendix was cut to length so that only a small cusp remained above the level of the skin. This was sewn around the skin in order to fix the superior portion of the appendicostomy to the skin. How is the MACE procedure coded in ICD-10-PCS? ...

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