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 removal of a foreign body from the heart (in this case, a knife from the left ventricle) followed by repair (cardiorrhaphy) is 33315. The ICD-10-CM codes accurately reflect the puncture wound to the left ventricle (S26.021A), the external cause of the injury (S21.93A), and the cardiac tamponade (I31.4).

Preoperative Diagnosis: Puncture Wound to the L