chapter 11 scavenger hunt icd 10 pcs excision vs resection

Here is summary of the key findings from the report:Ī female developed a left arm DVT , was treated with anticoagulation and a subsequent venogram revealed compression of the left axial subclavian vein with elevation of the arm. With the arm in neutral position, the vein flow was normal. Her arm swelling subsequently resolved and DVT then resolved. She was then referred for first rib resection.ĭuring the operation, an incision was made in the axilla and dissection proceeded down onto the chest wall. The chest wall dissection proceeded up to the first rib. The first rib was cleared of its surrounding tissue using Bovie cautery. The scalene muscles were resected off of the rib. Once we adequately cleared the rib of surrounding tissue posteriorly beyond the edge of the nerve and anteriorly to the junction with the manubrium, the rib was cut posteriorly and avulsed anteriorly.Ī 1-centimeter hole in the pleura was discovered upon inspection. After attempting to simply close this we continued to have a small air leak, therefore, a 24-French chest tube was selected and placed into the pleura with a purse-string of 3-0 Vicryl around it. The chest tube was secured through a separate stab incision on the lateral chest wall. I think that is correct, but I’m not sure if we should query the physician to find out if the physician considers the procedure an excision. If you crosswalk the ICD-9-CM Level 3 code to ICD-10-PCS, it maps to a resection. The coder coded the following record to total ostectomy-rib.

I don’t understand if taking one rib is considered a resection or an excision and why. Q: I am unsure how “ribs” are categorized in ICD-10.

Chapter 11 scavenger hunt icd 10 pcs excision vs resection