AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2026 Quarter 1; Section 0 - Medical and Surgical
Transfer of Bladder
A patient with a history of stage IV anal cancer presents for right ureteral reimplantation with Boari flap reconstruction due to ureteral stricture likely secondary to radiation. An infrapubic midline incision was made, and the right ureter defect was identified. The ureter was then mobilized and transected in preparation for reimplantation. The tongue-shaped flap with a 5 cm wide base and 8 cm length was harvested from the anterior surface of the bladder. Then, the ureter was sewn to the Boari bladder flap and attached to the distal right ureter. What is the correct code assignment for ureteral reimplantation with a Boari flap? ...
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Article Overview
This article covers an ICD-10-PCS update related to the urinary system transfer table and how it applies to bladder tissue used in ureteral reconstruction. It is aimed at coding professionals and others reviewing procedure classification changes, with attention to the relevant body part, approach, device, and qualifier values discussed in the update and example case.
Why This Topic Matters
It helps readers understand a procedure classification change affecting urinary system coding and the broader context in which a bladder transfer code may be reported for ureteral reconstruction.
What You Will Learn
- How the urinary system transfer table was updated
- Which table values were added for bladder-related transfer procedures
- How the article frames a ureteral reconstruction example in the context of ICD-10-PCS procedure classification
- What general coding topic the article addresses for urinary system surgery
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity staff
- Healthcare revenue cycle professionals
Codes Discussed
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