One of the fascinating things about Land Hermit Crabs is that they live in other creatures discarded shells. As they grow they will leave their old shell and find another larger one to move into. To assist the crabs with this, a few spare shells should be kept in the aquarium for such occasions.
The case involved multiple medical conditions and procedures is properly coded as Diagnosis Codes 366.16 (cataract) and 365.10 (glaucoma) and CPT Codes 66982-RT (right eye complex cataract surgery) and 66180-RT (right eye revision of an aqueous shunt/Aquaflo prosthesis).
Patient had a right TMA in July. Comes back to the operating room in October for wound debridement. Operative note specifically states: Patient with non-healing surgical wound. I submitted it to Medicare with ICD 10 code T81.89XA since this was the first time we are treating the non-healing wound. There is a Medicare LCD for the debridement code (11044) which only allows T81.89XS. Even if I were to code as an open wound, I still can only use the S for the 7th digit per the LCD. I thought Sequela meant, late effect.