Question

Mr. Smith is scheduled for a splenectomy for hypersplenism. Before his splenectomy, he is required to have clearance from his pulmonologist. The pulmonologist performs a pre-operative screening. Applying the coding concept from ICD-10-CM guideline IV.M., which ICD-10-CM codes would be reported for the pre-operative clearance?

Answer 1

ICD-10-CM codes should be reported for the pre-operative clearance. The specific codes will depend on the findings of the screening and any related diagnoses or conditions.

Step-by-step explanation:

According to ICD-10-CM guideline IV.M, when a patient requires pre-operative clearance for a surgery, it is important to report the ICD-10-CM codes that describe any conditions or diseases that the patient may have. In this case, the patient is scheduled for a splenectomy for hypersplenism, so the pulmonologist would perform a pre-operative screening to assess the patient's respiratory health. The ICD-10-CM codes reported for the pre-operative clearance would depend on the specific findings of the screening and any related diagnoses or conditions that are identified.