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#1
08-26-2009, 01:01 PM
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Delayed Lumbar CSF leak
Hello, Hope you can help.
Patient had a lumbar lami done a week ago, went home then developed a CSF leak, with spinal headache. Had to go back to surgery to find and fix the leak. Would I use the 349.39 code for the CSF leak, or would it be a complication of surgery since it was delayed- 997.09; E878.8 Thanks, cld 
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#2
08-26-2009, 01:35 PM
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I always question the physician when this scenario occurs... (Excerpt from the link below)
"the fact that the problem is a complication due to a procedure must be documented by the physician; the coder cannot make this determination.* ... " There are different diagnosis codes depending on the documenation. http://www.cdc.gov/nchs/ppt/icd9/att...r08B_97-03.ppt
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