Preoperative Diagnosis: puncture wound to the L. ventricle as a result of a stabbing presented with cardiac tamponade.
Postoperative Diagnosis: same
Operative Procedure: removal of knife from the left ventricle followed by on-pump exploratory cardiotomy and cardiorrhaphy. Patient survived procedure and was sent to ICU in critical condition.
Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

CPT code 33315 describes the repair of a cardiac wound, which is appropriate for the procedure described. ICD-10-CM codes S26.021A and S21.93A describe a puncture wound to the heart and an unspecified open wound of the thorax, respectively, which match the preoperative diagnosis. I31.4 is for cardiac tamponade, also mentioned in the preoperative diagnosis.

Preoperative Diagnosis: Puncture Wound to the L