AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Ask the Editor

Posterior Sagittal Anorectoplasty

A patient diagnosed with imperforate anus with perineal fistula was taken to the operating room for posterior sagittal anorectoplasty. The anterior rectal wall was dissected from the perineal body until the lower rectum reached the skin surface. The perineal body was reconstructed with sutures. The same was done posteriorly and the sphincter complex was tacked to the posterior wall of the rectum. The wound was sutured anteriorly and posteriorly, and the surgeon created an anoplasty. Are separate codes assigned for rectum and anus when a posterior sagittal anorectoplasty is done? ...

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