Forum - Questions & Answers

Dec 17th, 2015 - codinqueen 57 

Axogen nerve graft to lingual nerve- Need ICD-10 PCS code for procedure

Pt had injury/scar to his lingual nerve, now has Anesthesia Dolorosa. Surgeon brings pt to same day surgery for repair under general anesthesia. Surgeon decompresses the Rt Lingual nerve, excises the injured/scarred area (1 cm), then uses an Axogen nerve graft to anastomose the two ends, then wraps nerve & graft with an Axogen nerve cuff and sutures the reconstructed nerve & graft with wrap in place into pt's mouth. I am not finding any nonautologous device in I-10 PCS grid 00Q or 00U to use for this procedure for repair or supplement root operations. Axogen nerve graft is human tissue, but is not autologous in this case.Does anybody have any ideas? Thanks.

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Dec 18th, 2015 - LBAROGIANIS 250 

re: Axogen nerve graftg to lingual nerve- Need ICD-10 code

Try this: S04.51XA

I don't believe there is an exact code yet.

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Dec 18th, 2015 - codinqueen 57 

re: Axogen nerve graft to lingual nerve- Need ICD-10 PCS code for procedure

Thanks for your answer. I guess I didn't make myself clear. I need the ICD-10 PCS code for the procedure. The dx code you gave is what I got also. Do you have any ideas for the I-10 procedure code please?

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Dec 18th, 2015 - LBAROGIANIS 250 

re: Axogen nerve graft to lingual nerve- Need ICD-10 PCS code for procedure

00BK Excision / Trigeminal Nerve
00BK0ZZ Excision of Trigeminal Nerve, Open Approach
00BM Excision / Facial Nerve
00BM0ZZ Excision of Facial Nerve, Open Approach
01B1 Excision / Cervical Nerve
01B10ZZ Excision of Cervical Nerve, Open Approach

Not sure which one as I don't bill PCS..

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Dec 18th, 2015 - Jackfraust 69 

re: Axogen nerve graft to lingual nerve- Need ICD-10 PCS code for procedure

this is not my area of expertise but, if you look in the 00X- category, it is for transfer- moving w/o taking out, all or a portion of a body part to another location to take over function- you would have to determine which in the category is the closest in proximal branch (see guidelines B4.2) to the Axogen/lingual nerve from the lists. I don't have notes whether the body part character is the "from" or the "to" and the Qualifer is the opposite- if someone else has notes on this aspect- give a shout :)
I think you would code an additional code for the supplement. Look at Supplement, vein 05U- (maybe face vein R/L) this part is not that specific.
In addition to an excision code for the part of nerve removed.

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