AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 1; Ask the Editor

Removal of Fat Necrosis from Retroperitoneum and Space of Retzius

A woman with a pelvic abscess and pancreatic head necrosis presented for surgery. A flank incision was made with division into the retroperitoneum. Malodorous semi-solid material typical of fat necrosis was found. The area of the retroperitoneum up toward the head of the pancreas was gently debrided with fingers and sponge stick. A resectional debridement was carried out until all remaining necrotic fat and tissue were removed. For the pelvic abscess, a lower midline incision was made near the symphysis pubis until the abscess cavity was entered. This too looked like fat necrosis in the space of Retzius. This was scooped out with fingers and a sponge stick. What are the root operations and body part values for removal of fat necrosis near the pancreas and within the pelvic abscess cavity? ...

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