AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2013 Issue 4; Ask the Editor

Separating Conjoined Twins

The patients are two-year-old thoraco-omphalopagus conjoined twins. The twins are attached at the anterior thorax and the abdomen and have a fused liver. They underwent complex surgery to separate their livers, chest wall and abdominal wall. The surgery included liver separation; sternal reconstruction with absorbable synthetic plate; bilateral excision of rib, chest and abdomen with fasciocutaneous flap advancements; and removal of chest and abdominal tissue expanders. The ICD-10-PCS table does not have a body part value that specifically describes the separation of conjoined twins. What are the appropriate ICD-10-PCS procedure codes? ...

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