AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 4; Frequently Asked Questions

Robotic-Assisted Prostatectomy with Extension of Incision for Specimen Removal

A patient with prostate cancer presents for a robotic-assisted laparoscopic prostatectomy. Pneumoperitoneum was established and the abdomen was insufflated. The robotic trocars were then placed in the standard configuration, and the robot was docked. The dissection was carried bluntly around to the anterior prostate and bladder neck. The bladder neck was divided sharply. The apex of the prostate was freed sharply and the urethra divided. The robot was then undocked. All laparoscopic ports were removed under direct vision. The midline incision was lengthened to allow extraction of the specimen. What is the appropriate ICD-10-PCS approach value when the prostate was detached from surrounding structures using a percutaneous endoscopic approach, however an incision was made to remove the specimen from the patient’s body? ...

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