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Many of the procedural complication codes in ICD-10-CM are more specific regarding when the complication occurred (intraoperative v. Some of you assigned a code for an intraoperative hemorrhage/hematoma when in reality the hematoma developed after the aortogram was completed. In this scenario, the hematoma developed at the aortogram puncture site on the femoral artery making this a hematoma of a circulatory system organ (an artery) after a circulatory system procedure (aortogram). Some of you assigned the code for a postprocedural hemorrhage of the skin/subcutaneous tissue or of a musculoskeletal structure. There was some confusion around the assignment of the code for this diagnosis. This patient developed a femoral artery hematoma following an interventional radiology procedure of his aorta. This month’s scenario gives us the opportunity to use some of the new diagnosis and procedure codes available to us in ICD-10-CM and PCS. I97.618 Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following other circulatory system procedureĠY380ZZ Control bleeding in left femoral region, open approach L97.529 Non-pressure chronic ulcer of other part of left foot with unspecified severity I70.262 Atherosclerosis of native arteries of extremities with gangrene, left leg
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Icd 10 code soft tissue contusion manual#
The hematoma expansion could not be controlled by manual compression and therefore, the patient was taken to the Operating Room and placed under general anesthesia for exploratory surgery. ICD-10 coding challenge: The root operation ControlĪ 72-year-old male presented to the Same Day Surgery unit of a local hospital for an aortogram with bilateral lower extremity run-off to investigate the feasibility of an arterial repair of the left lower leg due to severe arteriosclerosis of the leg that has progressed to ulceration and gangrene of the left great toe.Īfter completion of the arteriogram, the patient developed an expanding hematoma in the left groin at the arteriogram puncture site.