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

The correct CPT code for the described procedure is 33315, which is for repair of a cardiac wound. The ICD-10-CM codes accurately reflect the preoperative diagnosis: S26.021A for puncture wound of the heart with foreign body, S21.93A for unspecified open wound of the thorax without penetration into the thoracic cavity, and I31.4 for cardiac tamponade. These codes collectively describe the injury, the location, and the complication that necessitated the surgery.

Preoperative Diagnosis: Puncture Wound to the L