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 with cardiopulmonary bypass is 33315. The ICD-10-CM codes include S26.021A for the puncture wound to the left ventricle, S21.93A for the unspecified open wound of the chest, and I31.4 for cardiac tamponade. These codes accurately reflect the preoperative diagnosis, the operative procedure, and the postoperative diagnosis.

Preoperative Diagnosis: Puncture Wound to the L