AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 4; Ask the Editor

Ravitch Operation

A patient with congenital pectus excavatum was admitted for repair. A Ravitch type procedure was performed. The cartilage was resected at the 4th through 6th intercostal arches bilaterally, the xyphoid was resected and a wedge shaped sternal osteotomy was made at the point of sternal angulation. The rectus muscle was reconstructed and fixed to the underside of the sternal table resulting in significant relief of the posterior angulation of the sternum. Typically a metal bar is utilized to stabilize the sternum, however, in this case the bar was not utilized. What is the correct code in ICD-10-PCS for this procedure?  ...

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