AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Quarter 3; Ask the Editor
Right Colectomy
A 69-year-old patient, who was diagnosed with volvulus of the right colon, underwent right colectomy. Would separate codes be assigned for the resection of the cecum with appendix and excision of the transverse colon? What is the correct ICD-10-PCS procedure code assignment for the right colectomy ...
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Article Overview
This premium coding article focuses on ICD-10-PCS procedure coding for a right colectomy. It is written for coders and billing professionals who need to interpret an operative report, understand how a documented surgical approach is reflected in procedure coding, and recognize when a single procedure assignment is used for a resection involving nearby structures. The article also discusses the coding issue raised by a case involving right colon volvulus and a colectomy that includes adjacent anatomy.
Why This Topic Matters
Accurate ICD-10-PCS assignment affects procedure reporting and claims integrity for colorectal surgery. This article helps readers identify the relevant procedure category for a right colectomy and understand the general documentation-based considerations involved in coding resections of large-intestine anatomy.
What You Will Learn
- How right colectomy is represented in ICD-10-PCS.
- How operative documentation influences procedure code assignment.
- How to think about adjacent structures mentioned in a colectomy operative report.
- How to identify the procedure code for a right colon resection in an open approach.
Who Should Read This
- Medical coders
- Coding auditors
- Billing professionals
- Clinical documentation improvement specialists
Codes Discussed
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