Neurosurgery Coding Alert

You Be the Coder:

Surgery of Skull Base With Approach, Repair

Question: Encounter notes indicate that the surgeon performed the following procedures: Approach: Infratemporal pre-auricular approach, middle cranial fossa without mandible disarticulation with parotidectomy, craniotomy Definitive procedure: Excision of infectious lesion, pharyngeal space, intradural without graft Repair: Repair of defect using local pedicle flap. How many codes should I be reporting for this encounter? Massachusetts Subscriber Answer: As long as the notes don’t [...]
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