In Billing
Aug 17th, 2016
Incision and drainage of an appendiceal abscess through an open incision is coded 44900. CPT’s parenthetical note tells us to use 49406 Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous for a percutaneous image-guided drainage by catheter of an appendiceal abscess. Reported as an Open Approach An ...
In Billing
May 27th, 2016
Occasionally, a surgeon will attempt to perform a procedure using an approach that fails, and must the complete the procedure using a different approach or technique. When this occurs, you should code only for the successful approach. The National Correct Coding Initiative (chapter 1, “General Correct Coding Policies for National Correct Coding Initiative Policy Manual ...
In Coding
Aug 21st, 2014
When a procedure begins by laparoscopic approach, but for any reason must be converted (and completed) by open approach, you should report only the open approach. As described in chapter 1 of the National Correct Coding Initiative (NCCI) Policy Manual: If a procedure utilizing one approach fails and is converted to a procedure utilizing a ...
In Coding
Feb 3rd, 2014
The first three digits of a fracture diagnosis (ICD-9-CM) code describe the fracture location. For instance, codes series 800.xx-804.xx describes fractures of the skull, while code series 820.xx-829.xx describes fractures of the lower limbs. The fourth digit of a fracture code usually identifies the fracture as either “open” or “closed.” For example, ICD-9-CM 813.41 describes ...
In Coding
Jan 2nd, 2014
Open fracture care is reported when the provider creates an opening to expose the bone to treat the fracture. Open fracture care is not performed in the emergency department; instead, the patient is taken to an operating room. Closed repair, by contrast, is made without an incision. The patient may present with an open fracture ...