Coding, Classification and Reimbursement

ICD-10- PCS B-Lynch

Carol L. Nickels, Health Information Administration,RHIA,CCS01-30-2019 14:48

Carl H Berry, Health Care Information,RHIT01-31-2019 15:44

  • 1.  ICD-10- PCS B-Lynch

    Posted 01-29-2019 14:46
    A patient develops postpartum hemorrhage due to uterine atony immediately after spontaneous vaginal delivery of twins at 38 weeks' gestation. The B-Lynch suture is performed to control the bleeding.The B-Lynch suture is a brace suture used to compress the uterus without compromising major vessels in cases of postpartum hemorrhage. What is the Root Operation (Control/Repair). Based on the what the two root operation meanings I am torn between the booth and because the major vessels where not compromise has me thinking of using Repair instead of control because everything that I have read about the procedure and DR. Christopher B. Lynch leads to control for the root operation. My code selection is 0UQ90ZZ – Repair of uterus , what are the thoughts of other coders.
    Carl Berry RHIT,

  • 2.  RE: ICD-10- PCS B-Lynch

    Posted 01-30-2019 14:48
    Coding Clinic has guidance, please see 
    Title:  B Lynch Procedure


    NUMBER 2        2008, Page 7

    75.52, Repair of current obstetric laceration of corpus uteri, for B-Lynch procedure performed to control intraoperative hemorrhage during a cesarean section. Sequence the appropriate procedure code for the cesarean section as the primary procedure. This would be 0UQ90ZXZ in ICD-10-PCS.

    Hope this helps!

    Carol Nickels, RHIA, CCS
    Coding and Documentation Review Consultant
    Kaiser Permanente - Regional Offices (Oakland, CA)

  • 3.  RE: ICD-10- PCS B-Lynch

    Posted 01-31-2019 15:44
    Thank you very much for providing the coding clinic with the root operation. 

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