Congenital Cystic Adenomatoid Malformation ICD 10 coding tips

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Congenital Cystic Adenomatoid Malformation (CCAM) occurs due to an abnormality in lung developement. CCAM has different types of lesions from types 0-4.  Some of the lesion are generally associated with the overgrowth of the terminal bronchioles. It is now also called as Congenital pulmonary airway malformation (CPAM). An abnormal growth of cystic lung tissue replaces the entire lobe of lung, which causes CPAM. This leads to malfunction of the normal lung tissue. The cause for CPAM is still unknown. 
Congenital Cystic Adenomatoid Malformation ICD 10 coding tips


Congenital Cystic Adenomatoid Malformation Lung

The cystic lesions of lung occur rarely. It is the most common congenital malformation of the lower respiratory tract, hence called as CCAM and bronchopulmonary sequestration (BPS). It occurs mostly in 1 in every 30,000 pregnancies. There are four types of Congenital Cystic Adenomatoid Malformation lung. Let us check all these types of CCAM.

Type 0

This type of CCAM occurs in the trachea or bronchus. This type of cyst are small and rare.

Type 1

This is the most common type of CCAM. These type of CCAM has small number of large cyst. This type of CCAM arises from the distal bronchus or proximal bronchiole.


Type 2

 These type of CCAM arises from the terminal bronchioles. These are small cysts which are not easy to distinguish from the surrounding tissue. These type of CCAM occur in 15% to 30% cases. These are lined by ciliated cuboidal or columnar epithelium, and elements of bronchioles or alveoli may be seen

Type 3

These type of CCAM arises from acinar-like tissue.  These type of cysts are also too small and occurs in 5% to 10% of the cases. These tissues are acinar in nature.

Type 4

These type of cysts are large enough of approximately 10 cm. These type of CCAM can be associated with malignancy.


 ICD 10 Congenital Cystic Adenomatoid Malformation 

We have a ICD 10 code for Congenital cystic lung, Q33.0, which is used for CCAM as well. There are many synonyms which can used for ICD 10 code Q33.0. Below are the common diagnosis which are use for coding Q33.0.

  • Bronchogenic cyst
  • Congenital bronchogenic cyst
  • Congenital cystic adenomatoid malformation of lung
  • Cystic adenomatoid malformation
  • Cystic lung, congenital
  • Single lung cyst

Free Sample CPC Questions & Answers for Medical coders

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1.    Which is proper coding for repair of a type II SLAP?
 
A.    29822
B.    29823
C.    29807
D.    29999
 

Free Sample CPC Questions & Answers for Medical coders

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Struggling to Code Pathological Fractures: Follow these tips

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Basic about Pathological fractures


ICD 1o codes are very specific in nature. So far, we have seen how to code Z codes and followup codes in ICD 10 which are not easy to search in diagnosis codebook. But, today we will try to learn about coding pathological fractures. Fractures occurring in bones that are weakened by disease are basically termed as pathological fracture. These fractures are generally spontaneous but mostly occur in connection with some minor injury or trauma. Small injury or minor fall that ordinarily do not cause any fracture in normal healthy bones, comes under category of pathological fracture. There is a list of disease which can cause pathological fracture which includes osteoporosis, metastatic tumor of bones, osteomyelitis, hyperparathyroidism and nutritional disorders. We have learn previously about ICD 10 coding degenerative disc disease, lumbar spondylosis, chest pain etc. Let us explore more about coding ICD 10 code for Pathological fracture. Pathological fracture can also be termed as Non-traumatic fractures.

Superb tips for ICD 10 code for Deep Vein Thrombosis

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Basics about ICD 10 code for Deep vein thrombosis


Deep vein thrombosis, or deep venous thrombosis, (DVT) is the formation of a blood clot (thrombus) within a deep vein, predominantly in the legs. Non-specific signs may include pain, swelling, redness, warmness, and engorged superficial veins. DVT can cause many harmful disorders. Medical coders due to the implementation of ICD 10 codes are finding difficult to code this diagnosis. The ICD 10 code for deep vein thrombosis has been increased a lot in numbers compared to ICD 9. In ICD 10 we have specific codes for DVT for each vein of lower extremity as well. Also, we have specific ICD 10 codes for proximal as well as distal lower extremity thrombosis. So, now you understand how specific the ICD 10 codes for deep vein thrombosis will be. So, let us checkout the ICD 10 codes for DVT from specified to unspecified veins.

Superb tips for ICD 10 code for Deep Vein Thrombosis
Read also: Shortcut coding tips for root operation occlusion

Amazing Coding tips for Root Operation Occlusion

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Basics about Root operation Occlusion


Occlusion has a root operation value of ‘L’ and is defined as completely closing an orifice or the lumen of a tubular body part. This root operation is reported when the main objective of the procedure is to block the lumen of a tubular structure or close off an orifice completely so as to prevent passage through the opening or tube.The main objective to code restriction and occlusion is to narrow the diameter or to block the opening or lumen completely. For example, Embolization procedure perfectly fits for restriction or occlusion. Tumor embolization is coded as an occlusion since the objective is to cut off the blood supply to the tumor completely in therapeutic treatment. The coder will need to search documentation to verify the objective of the procedure as well as the method. Some examples of occlusion procedures include ligation of veins, fistulas, or a failed AV graft; fallopian tube occlusion; and uterine artery embolization.
 


Amazing Coding tips for Root Operation Occlusion

 
 Read also: Secret tips for ICD 10 follow up codes



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Sample report for Root operation Occlusion



PREOPERATIVE DIAGNOSIS: A 39 week gestation, previous cesarean section, desires repeat with permanent sterilization.


POSTOPERATIVE DIAGNOSIS: A 39 week gestation, previous cesarean section, desires repeat with permanent sterilization.

PROCEDURE: Repeat low-transverse cesarean section with bilateral tubal ligation.

ANESTHESIA: Spinal.

COMPLICATIONS: None.

ESTIMATED BLOOD LOSS: 300 mL.

FINDINGS: Live-born infant, Apgars 9 at 1, 9 at 5, 7 pounds 8 ounces. Normal uterus, ovaries, and fallopian tubes bilaterally.

PROCEDURE IN DETAIL: The patient was taken to the operating room and after adequate spinal anesthesia was achieved, was prepped and draped as a sterile field. A Foley catheter had been previously placed. A Pfannenstiel incision was made through the old scar and carried down to the fascia sharply. The fascia was incised in the midline with a scalpel and extended laterally with Mayo scissors. The fascia was dissected off the underlying rectus muscles sharply. The rectus muscles were separated. The peritoneum was isolated and entered. The peritoneal incision was extended superiorly and inferiorly with Metzenbaum scissors and a bladder blade was placed. The peritoneum overlying the lower uterine segment was incised with Metzenbaum scissors to create a bladder flap behind which the bladder blade was placed. A 1-cm incision was made in the lower uterine segment with a scalpel and extended laterally in a blunt fashion. Infant's head was delivered and suctioned on the maternal abdomen. The body was delivered. The umbilical cord was clamped and cut, the baby was handed off to the awaiting nurse. The placenta was manually delivered and the uterus was externalized. The uterine cavity was wiped clean with a lap pad and noted to be devoid of any retained placental fragments. The uterine incision was closed with a running locking #1 chromic suture. The right fallopian tube was doubly ligated in its ampullary region with 0 plain suture and a 1-centimeters segment was resected with Metzenbaum scissors. The same procedure was performed on the left fallopian tube. The uterus was returned to the abdomen, which was then irrigated with copious amounts of sterile saline, hemostasis at all operative sites was noted to be adequate at that time. The rectus muscles and peritoneum were reapproximated using interrupted 0 chromic sutures. The rectus fascia was closed with a running 0 Vicryl suture.
 
Subcutaneous tissue was closed with a running 2-0 plain suture. The skin incision was closed with a subcuticular 4-0 Vicryl suture and Dermabond. Once sponge and instrument counts were correct x3, the patient was taken to the LDRP in stable condition. The baby was also brought to the LDRP.

ICD 10 -PCS

10D00Z1 -Extraction of Products of Conception, Low Cervical, Open Approach

Section - 1- obstetrics

Body system 0-pregnancy

Operation-D-extraction

Body part -0-products of conception

Approach- 0-open

Device- Z-device

Qualifier- 1-low cervical



0UL70ZZ - Occlusion of Bilateral Fallopian Tubes, Open Approach

Section-0-Medical and surgical

Body system-U-female reproductive system

Operation-L-Occlusion

Body part-7-fallopian tubes, bilateral

Approach- 0-open

Device-Z-no device

Qualifier-Z-No Qualifier