Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page
Test your ability to code cardiovascular disease and surgery. Cardiovascular coding is not for the faint of heart. Understanding how and why the procedures are performed is half the battle — a battle won by the medical coders who attended the session “Case Based Complex Vascular Coding” at AAPC’s regional HEALTHCON 2021 in Charleston, S.C. […]
The post Coding Complex Vascular Cases appeared first on AAPC Knowledge Center.
After adequate anesthesia, legs were prepped with betadine, draped in a sterile fashion. The left thigh laceration was measured 27 cm in length and it arched over from the distal anterior thigh lateral across the knee joint and then inferior. There was a stated degloving and undermining of the skin over the knee. There was no fascial injury. This area was copiously irrigated with a liter of saline and then the skin was closed with running 2-0 nylon sutures over a 19-French Jackson-Pratt drain. Drain was brought out and sewn in place with a 2-0 silk. The laceration measured 27 cm. The right anterior tibial laceration measured 3 cm and then there was a puncture wound, which was controlled with interrupted 3-0 nylon stitches. This was irrigated out initially and the two areas connected just anterior to the tibia.
The right thigh laceration was extensive and included a laceration of the lateral aspect of the quadriceps fascia with bulging muscle. This are was copiously irrigated with a liter of warm saline. The fascia was reapproximated with a running 9 Vicryl stitch, returning the muscle belly underneath the fascia. This measured 20 cm. The skin laceration was then repaired, measured 24 cm and again there was some undermining of the skin. A drain was placed, brought out inferiorly, and sewn in place with a 2-0 silk. the skin was then closed with running 3-0 nylon. Mepliex dressings were applied and Ace bandages were applied, and drains were placed to suction. The patient tolerated the procedure well and was taken to recovery room in stable condition.
I choose codes 12002, 13121, and 13122 x 9. Can someone tell me if this is correct and if it’s not what would be the correct choice.
Thank you
Thanks!
I was going to use CPT code 23472. However now I am wondering should I be using CPT code 23616?
thanks
There has been ongoing debate about how to code complex repairs versus tissue transfers and rearrangements. Correct coding requires an understanding of the two surgical approaches. In the latest update to the National Correct Coding Initiative (NCCI) Policy Manual for Medicare Services, the Centers for Medicare & Medicaid Services (CMS) clarifies its definition of these […]
The post Complex Repair vs. Tissue Transfer, Rearrangement appeared first on AAPC Knowledge Center.
I have a physician who wants to bill a 27513 ORIF with a 11012 and a complex wound closure? It is my understanding that the closure of the wound would be included in the ORIF. Any help would be appreciated.
NCCI shows indicator 1:
20071001 * 1 Standards of medical / surgical practice
I’m trying to determine if this is correct. The patient underwent 46040 a few days ago and due to the complexity of the abscess, they brought the patient back to the OR to perform washout and placement of a JP drain to facilitate healing.
Would I still report 11004 if he’s not actually documenting any debridement?? How do you capture revenue for bringing the patient back to the OR if he’s basically just performing wound care under anesthesia?
Op report states:
we prepped and draped the area and after our final verification we proceeded. We washed out the wound copiously with saline. We then again identified the tracking down towards the perineum close to the perianal area.
Due to the complexity of the wound and tracking, as well as difficulty with packing, I elected to leave a Penrose drain by making a small counterincision slightly into the perianal area. I made a small counterincision a couple of inches away from the already existing scrotal wound. I passed a one-inch Penrose through the deepest part of the already existing abscess cavity and once I did that we secured hemostasis. We washed out the wound further. I secured the Penrose on itself so it was looped and then placed some one-inch packing into both wounds. There were no other complications. We placed a dry gauze as well as a scrotal support and the patient tolerated the procedure well. He was taken out of lithotomy and extubated