AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Quarter 1; Clarifications
Resection of Lymph Node Chains
Please clarify advice published in Coding Clinic, First Quarter 2016, page 30, that used the root operation “Resection” for removal of entire chains of axillary lymph nodes at level 1, level 2 and parts of level 3. Based on the removal of “parts” of level 3, it appears that two codes should be assigned, one using the root operation “Resection” for levels 1 and 2, and “Excision” for the removal of parts of level 3. ...
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Article Overview
This article explains a Coding Clinic clarification related to ICD-10-PCS coding for lymph node chain procedures. It is aimed at coding professionals who need to understand how the guidance applies to lymphatic body part values and how the published advice fits with the underlying terminology used for these procedures. The discussion stays focused on the coding topic and the official source referenced, making it relevant for inpatient coding review, audit preparation, and education.
Why This Topic Matters
Accurate ICD-10-PCS assignment for lymph node procedures depends on understanding how the official guidance distinguishes between broader chain-level removal and more limited tissue removal. This matters for data quality, procedure reporting consistency, and compliant coding workflows.
What You Will Learn
- What Coding Clinic clarification is being discussed
- How the article frames the distinction within ICD-10-PCS lymphatic procedure reporting
- Why the guidance is relevant to coding review and data consistency
- How official coding advice can affect interpretation of lymph node chain procedures
Who Should Read This
- Inpatient medical coders
- Coding auditors
- Coding educators
- Clinical documentation improvement staff
- HIM professionals
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