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Home/Diagnosis/ICD-10 Coding for Fractured Plastic Optiview Trocar

ICD-10 Coding for Fractured Plastic Optiview Trocar

T81.5
Z18.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for fractured plastic optiview trocar includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Retained Plastic Trocar Fragment
Fractured Surgical Trocar
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Key Information: ICD-10 Coding for Fractured Plastic Optiview Trocar

Essential facts and insights about ICD-10 Coding for Fractured Plastic Optiview Trocar

Use ICD-10 code T81.5 for foreign body accidentally left during a procedure, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Foreign body accidentally left during a procedure

Non-Billable
T81.5
Non-Billable

Diagnostic Criteria

clinical:
  • • Fragment retained during surgical procedure
documentation:
  • • Imaging confirms retained fragment

Applicable To

  • • Retained surgical instrument

Important Notes

  • • Ensure documentation specifies the procedural context and attempts at retrieval.

Retained plastic fragments

Billable Code
Z18.2
Billable

Diagnostic Criteria

clinical:
  • • Imaging confirmation of plastic fragment
documentation:
  • • No procedural context linking to surgery

Applicable To

  • • Retained plastic surgical fragments

Important Notes

  • • Ensure no procedural context is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z47.2

Encounter for removal of internal fixation device

Use if removal of the retained fragment is attempted.

Frequently Asked Questions

What is the ICD-10 code for a fractured plastic Optiview trocar?

The ICD-10 code for a fractured plastic Optiview trocar retained during surgery is T81.5. If discovered post-procedure without a surgical link, use Z18.2.

How should a retained plastic trocar fragment be documented?

Document the procedure name, fragment size and location, and imaging modality used to confirm the fragment's presence.

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