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Old 08-26-2009, 01:01 PM
cld cld is offline
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Default 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

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cld
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Old 08-26-2009, 01:35 PM
RebeccaWoodward* RebeccaWoodward* is offline
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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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Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

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