AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 3; Ask the Editor

Medial Thigh Lift Surgery Status Post Osteointegrated Implant Placement

The above patient underwent right medial thigh lift and elliptical excision of skin from the stoma on the lateral side due to soft tissue envelope redundancy and ulcerations around the osteointegrated implant. To perform the medial thigh lift, skin and subcutaneous tissue were excised from the medial thigh. Redundancy of the adductor muscles was reduced by dividing superficial anterior and posterior attachments and transposing the rectus femoris and biceps femoris from lateral to medial, over the adductor muscles. The medial lift was further advanced by exposing the medial aspect of the thigh through an incision along the groin crease; a fasciocutaneous thigh flap was preserved on the medial perforators from the superficial femoral artery, advanced cranially and sutured to the pubic tubercle and inguinal ligament. An elliptical excision of skin from the stoma and tailor tack suture closure to tighten the skin and subcutaneous tissue on the lateral side was performed. The skin and subcutaneous tissues were divided and advanced to tighten the subcutaneous tissue. What are the procedure code assignments for the procedures performed? ...

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