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Is the work status external cause code required for correct coding even when an encounter does not specify work status, volunteer activity, student activity etc. etc. ? When such things are specified I code, however, for example, if a baby has a fall, would y99.9 be required for "correct coding".
Thanks
V. Cook, CPC
Condensed report: The previous wound VAC was removed. The wound was the cleansed out extensively with pulse lavage. Significant reduction of edema of the tissues expecially in the perianal area as noted. Close inspection revealed that the external sphincter muscle was transected completely between 6:00 and 9:00 o’clock position. The edges of muscle where debrided and the muscle was approximated with interrupted sutures… Additional sutures were placed between the skin and anal verge to complete repair the area between 6:00 and 8:00 o’clock position. A wound vac was applied.
Appreciate any suggestions for this patient who has been reexplored several times in the past couple weeks from a MVA.
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Thoughts?
Thank you in advance!
My doctor states he would need to relieve the suture and then modify/reconstruct the ear without using any flaps or grafts. He would most likely be able to close any gaps with just sutures.
I know i need to get authorization from the insurance, that is why we don’t want to use an unlisted code. I don’t think this qualifies as complex repair because it is not an open wound.
My question is this- what code do i need to use without using an unlisted code? Would it be 69300 otoplasty? Any help would be greatly appreciated.
Thank you!
Cheryl
Thanks 
ZDX0764
Learning to perform coding audits is an important piece of an effective compliance program; but, what’s the difference between internal and external coding audits? An internal audit is one that is performed by members of the organization or practice. Some large hospital systems have an internal audit department that is responsible for auditing all aspects […]
AAPC Knowledge Center
Ex., 37220 AND 37222