AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 1; Ask the Editor

Tracheocutaneous Fistula Status Post Tracheostomy

A 75-year-old patient had previously undergone creation of a tracheostomy that was subsequently taken down. Since that time, the tracheostomy site has remained open with greenish discharge without significant improvement. The patient is now admitted for surgical closure of the tracheocutaneous fistula. What is the appropriate ICD-10-CM code assignment for a tracheocutaneous fistula following tracheostomy reversal? Would the fistula be coded as a persistent postoperative fistula or a complication of the tracheostomy? ...

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