Please advice which code will be applicable for this one N17.9 OR N17.8, R34.
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Tag Archives: injury
new injury rebeaking the right distal humerous over an healed fracture with a metal
It’s Risk adjustment, so I’m coding an acute fracture of the right distal humerus: S42.201a. But the x-ray shows a surgical plate with screws so Should I code a S42.201D? or is there a better code of rebreaking the same bone at the site of an old fracture?
Interosseous ligament stabilization for a Essex-Lopresti injury
Does anyone know of a code (or comparable code for an unlisted CPT) for an interosseous ligament stabilization? I am also billing 25337 and wonder if it may be included in that code. The torn central band of the interosseous membrane was reinforced to promote healing in anatomic alignment using an Arthrex syndesmotic tight rope.
Thank you!
Fingernail injury dx code
I need help-I’m trying to code a fingernail injury where the fingernail came off.
Should I just code this a fingernail injury?:confused:
When a fall causes no injury, is a W code appropriate?
Hello,
When a provider sees a patient after a fall (as a precaution, to be checked out, etc.) is it appropriate to assign an External Cause of Morbidity code like W19.XXXA when no there has been no injury?
Thank you,
Cindy Hill, CPC
When a provider sees a patient after a fall (as a precaution, to be checked out, etc.) is it appropriate to assign an External Cause of Morbidity code like W19.XXXA when no there has been no injury?
Thank you,
Cindy Hill, CPC
is an injury code needed?
Patient fell and hurt elbow. Provider gives a dx of left traumatic olecranon bursitis. M70.22 is the best I could find.
Now a fellow coder says that we also need to add a ‘unspecified injury’ since the provider said it was a traumatic injury. I would think that the M70.22 tells the whole story here (plus external cause codes). An x-ray was also done and no injury found. So why would I code an ‘unspecified injury’ if I already know that it’s just bursitis?
Am I going nuts? Is she right?
Spastic quadriplegic cerebral palsy as a sequela of traumatic brain injury
I am trying to correctly code for a pt who has been diagnosed variously with cerebral palsy following MVA, traumatic brain damage following MVA, spastic paraplegia, etc. I’m pretty sure I need the S06.2X9S with a condition code indicating MVA for the 2nd dx; my question is whether I can use G80.0 as the primary – my reading seems to indicate that the code is for a congenital condition, whereas this patient’s condition is post-traumatic. Any input would be greatly appreciated.
Janet Beck, CPC
Injury Code As Primary Hospice Diagnosis
Admitting a new patient to Hospice under the primary diagnosis of Traumatic Brain Injury. Looking for input on the seventh character. As he was already seen at the hospital for this (and is not receiving further treatment due to Hospice admission) I’m hesitant to use "A" as the seventh character. But I’m not necessarily comfortable with using "D" either because of the "routine healing" aspect as he theoretically is not healing, hence the Hospice admission. Any thoughts?
Ureter Injury during hysterectomy…. I need help please :)
Here is the section of the note that is regarding this part…
right ureteral injury was transected as this area could not be visualized during the operative procedure. We then trimmed both ends, made a cystostomy, threaded a J-wire and then a right double J- ureteral stent over the J-wire up to the renal pelvis. We then repaired the ureter with …sutures circumferentially with good reapproximation under no tension.
after that, he put in a "left ureteral catheter."
then, he says "once both stents were in place, the bladder was repaired with 2 layers of running 3-0 Vicryl sutures…"
he wants to report 50760 and 51880 for this.
There is no CCI edit, however, it does not seem right to report the closure of the bladder from the stent placement during the same encounter of the actual stent placement. Then, he says that he inserted a catheter on the left side. I’m thinking it is temporary, but he did not state that he removed it. He calls it a "bilateral stent placement" in the header. that was not documented as the right side, though. he did not call it a j-wire or anything.
does the 50760 get a RT modifier?
What would you do for the LT side "catheter" vs "stent"
does he get the bladder closure because of the sutures or is this the layer closure included in the 50760?
Thank you for your assistance!!
Billing for repair of injury sustained during another procedure
Can someone direct me to where I can find written guidelines that state if a provider can bill for repair of an injury sustained during another procedure. My specific case is a lap appendectomy with the appendix behind the cecum and adherent to the small intestine. During dissection the cecum sustained a 2 cm enterotomy. There was no leakage. Is this repair billable?
I would greatly appreciate some guidance and something I can show my provider.
Thank you.