AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 3; Ask the Editor

Postoperative Epidural Hematoma following Laminectomy, Facetectomy and Foraminotomy

A patient developed a postoperative epidural hematoma following an L3-L4 and L4-L5 laminectomy, medial facetectomy, and foraminotomy. Code G97.62, Postprocedural hematoma of a nervous system organ or structure following other procedure, was assigned to capture the hematoma complication. Is it appropriate to assign code G95.89, Other specified diseases of spinal cord, or code G95.19, Other vascular myelopathies, as an additional diagnosis to specify the site of the hematoma? ...

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