Recent content by jdibble

  1. J

    Question Bone grafting of the femur and tibial tunnels CPT code

    I need help with coding the following procedure as soon as possible: Preoperative Diagnosis: INSTABILITY RIGHT KNEE Postoperative Diagnosis: INSTABILITY RIGHT KNEE Procedure Performed: Bone grafting of the femur and tibial tunnels as a stage procedure for future ACL reconstruction...
  2. J

    Question Sigmoid Granulomatous Mass

    Help is needed on how to code this. PATIENT IS BROUGHT TO THE OR ON 9/19/19 AND PLACED ON TABLE SUPINE POSITION. AFTER ADEQUATE GENERAL ANESTHESIA, SHE HAD A FOLEY CATHETER PLACED AND WAS PREPPED DRAPED STERILE FASHION. AN INFRAUMBILICAL INCISION WAS MADE AND A 5 MM BLADELESS TROCAR WAS...
  3. J

    Question Revision of Fundoplication code

    Our surgeon took his patient back to surgery to do a revision of a fundoplication. He removed some stitches to allow the fundoplication to open and did a dilation of the esophagus. I have CPT code 43450 for the dilation but I have no idea how to code the stitch removal. The OP note is below. If...
  4. J

    Question Percutaneous pinning of Hammertoe

    Thank you so much Ashley. That makes sense and if it is for all corrections than I will use that code!
  5. J

    Question Percutaneous pinning of Hammertoe

    I am not sure how to code this procedure and hopefully someone can help! Preoperative Diagnosis Hammertoe deformities bilateral feet in the 2nd, 3rd, 4th, and 5th toes Procedure Performed Closed reduction and pinning of the bilateral 2nd, 3rd, 4th toes Indications Patient with rigid...
  6. J

    Foreign body foot

    If there is no incision than you can't code any of the incision codes. How was it removed - tweezers? If it wasn't done by any incision it should be included in the E/M code and not billed separately.
  7. J

    Question Lower extremity procedure codes

    Thank you! That does help!
  8. J

    Revision of Fundoplication code

    This was a stitch removal to revise the previous surgery as the patient was having issues. The surgeon did this to alleviate his dysphagia after the surgery. Would you still consider this included in the previous surgery? This is not a normal part of the previous surgery.
  9. J

    Question Diagnostic Lap or Discontinued Lap Chole

    I would code it 47562-53.
  10. J

    Question Diagnostic Lap or Discontinued Lap Chole

    From what the note says it looks like he did more than just a diagnostic lap as he tried to take down the adhesions, etc. It also stated that the procedure was aborted. I would code it as a discontinued lap chole.
  11. J

    Question Lower extremity procedure codes

    I always get confused with these procedures done in arteries as to what is being done and what CPT codes to use. If someone could look at the OP note below and help me with the codes for what was done I would appreciate it! Also if anyone knows of a source I can turn to so I can understand these...
  12. J

    Revision of Fundoplication code

    Our surgeon took his patient back to surgery to do a revision of a fundoplication. He removed some stitches to allow the fundoplication to open and did a dilation of the esophagus. I have CPT code 43450 for the dilation but I have no idea how to code the stitch removal. The OP note is below. If...
  13. J

    Question Repair of External Iliac Artery

    Thank you Vicky! That is what I was looking for!
  14. J

    Question Repair of External Iliac Artery

    My surgeon was called into a surgery to repair the External Iliac Artery accidentally cut by the surgeon performing the intended surgery. I am trying to find a code for this procedure and am not sure what code to use. If anyone can help with a code it would be appreciated!! REANASTOMOSIS OF...
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