distal

  1. R

    Help with Coding Peripheral

    Can I get some help coding this procedure. PROCEDURE PERFORMED: 1. Abdominal aortography at the renals 2. Abdominal aortography with limited run-offs 3. Right lower extremity runoff via left groin access 4. Left lower extremity distal runoffs via left groin access. 4. Catheter positioning...
  2. C

    Mechanical thrombectomy with a Spider Filter Wire?

    I have a question regarding Mechanical Thrombectomy. This is a scenario I have not seen before and would entertain some recommendations. This patient had an EKOS catheter placed on Day 1. On Day 2 Subsequent day EKOS catheter was pulled out and angio revis performed. Clot burden still...
  3. C

    Distal Fibular Fracture ICD10

    there is a discussion re: distal fibular fracture ICD10 coding. Pt has a fx repaired of distal fibula. Fx is not in the Fibula shaft. Radiology report and provider's report just states "distal fibula" fx. Is this enough to use the lateral malleous fx ICD10? From an anatomical standing, it seems...
  4. L

    Multiple fractures - Can anyone help me on this one

    Hello, I have one where on 10/12/15 patient comes into the office for a 1. displaced metaphyseal fracture of right distal radius and ulna 2. mildly angulated closed left midshaft clavicle fracture Treatment Plan: Taken to Operation Room and had a closed reduction and percutaneous pinning...
  5. C

    Excision Gouty Tophi Fingers

    Need some help with the CPT code for this procedure Excision of gouty tophi, thumb, index finger and long finger Incision extended from distal to DIP joints, involving dorsal and volar aspects. Thanks to all, Carol
  6. L

    Multiple Fractures

    Hello, I have one where on 10/12/15 patient comes into the office for a 1. displaced metaphyseal fracture of right distal radius and ulna 2. mildly angulated closed left midshaft clavicle fracture Treatment Plan: Taken to Operation Room and had a closed reduction and percutaneous...
  7. C

    Surgery for malunion of fracture

    Procedure is ORIF of extra-articular distal radius ( 25607) Diagnosis is right comminuted distal radius fracture with partial malunion. I am still unsure how to code for these, when pt is getting surgery. According to the fracture coding guidelines, all diagnosis for surgery should be coded...
  8. S

    Please advise......

    I need help with an orthopedic surgery. Please advise if the following codes are appropriate for the operative note listed: 24579, 25607-51, 64721-51 PREOPERATIVE DIAGNOSIS: Fractured distal right radius (extraarticular), and fracture of anterior aspect of trochlea of right elbow. PROPOSED...
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