revision

  1. J

    Wiki Revision of Total Shoulder to Reverse Total Shoulder

    I am going back and forth with Ortho on a case, and this one is a real puzzler. I have had a lively discussion with someone from their office, but we find ourselves at an impasse. Scenario: pt had previous total shoulder that failed and presented for revision to reverse total shoulder. Doc...
    • jarmstrong20
    • Thread
    • 23472 23473 23474 reverse shoulder revision total shoulder
    • Replies: 3
    • Forum: Orthopaedics
  2. C

    Wiki Laparoscopic revision of paraesophageal hernia repair with gastropexy

    How would you go about coding this? I am at a complete loss. Pre op diagnosis: slipped fundoplication, dysphagia Post op diagnosis: same as above Procedure performed: Laparoscopic revision of paraesophageal hernia repair with gastropexy Findings: half of stomach and Toupet fundoplication...
  3. S

    Wiki 1 stage exchange - Total Hip Revision, complicated

    Hello! I work at an orthopedic group and this is the first time I'm hearing of this. I will insert the doctor's description of the surgery farther down, but essentially they do a 2-stage revision for an infected THA in 1-stage. It's a seemingly very new procedure, and my coding manager and I are...
  4. E

    Wiki TIPS revision with mechanical thrombectomy

    The radiologist accessed an existing TIPS and performed portography and hemodymanic evaluation. The TIPS was found to be occluded. Mechanical thrombectomy was performed and an additional stent was placed. Can you tell me if the thrombectomy is included in the work of the TIPS revision 37183...
  5. A

    Wiki Revision of cochlear implant

    The doctor removed and implanted a cochlear implant. I originally thought I would use cpt code 69710 or 69717 but I read that 69930 includes the removal so I just want to make sure which cpt code would be best to use. Here is the report: Procedure: Right revision cochlear implant Details...
    • AN2114
    • Thread
    • 69710 69717 69930 cochlear implant implantation removal replacement revision
    • Replies: 1
    • Forum: ENT/Otolaryngology
  6. D

    Wiki triple arthrodesis w/ tibiotalar and fibulotalar fusion vs. Mutiple midtarsal fusion with tibiotalar, and fibulotalar fusion

    I have some questions on how to approach a recent revision that my podiatrist performed. Below is a breakdown of what was performed. Please note that this is a revision procedure and hardware was removed (20680). Ankle fusion -K-wire fixation of the subtalar joint (anterior approach) that...
    • DavitaBrannon03
    • Thread
    • ankle arthrodesis broken hardware foot foot and ankle midtarsal fusion revision tibiotarsal triple fusion
    • Replies: 1
    • Forum: Podiatry
  7. K

    Wiki TFN Blade Shortening Procedure?

    How would you code this? Any guidance appreciated! PRE-OP DIAGNOSIS: Painful hardware left hip HPI: Had a left gamma nail placed. The fracture healed with compression and the screw slid laterally. This became painful. She has a hard time laying on that side and has pain with walking...
    • klm1299
    • Thread
    • help with coding/billing orthopaedics revision tfn
    • Replies: 0
    • Forum: Orthopaedics
  8. K

    Wiki Spine help please

    WE ARE UNSURE HOW TO CODE THIS SURGERY AND WOULD APPRECIATE ANY HELP YOU CAN OFFER PLEASE. FOR THE OPEN SI FUSION, 27280? WHAT ABOUT THE REMOVAL OF PREVIOUS HARDWARE? SHOULD WE USE 22830 FOR EXPLORATION? I HAVE ONE PERSON SAYING TO USE, "27280, 22830, AND 22853." AND ANOTHER SAYING, "27280...
  9. K

    Wiki Patellar Button Revision with Polyethylene Exchange

    Does anyone have documentation to support how to bill a patellar button revision with polyethylene exchange? I'm thinking 27486-22... Thank you! Kara Hawes, CPC
    • kadensmom
    • Thread
    • button exchange patellar polyethylene revision
    • Replies: 0
    • Forum: Orthopaedics
  10. I

    Wiki Revision Suprapubic Ostium

    Can anyone help me with a CPT code for Revision of Suprapubic Ostium? Thank you. Diana
  11. K

    Wiki Looking for help with coding Hypospadias (cosmetic?) repair PRETTY PLEASE

    I am relatively new and coding for ASC. I have been getting better with my Uro codes but this case today has me baffled. I am not sure of the dx or CPT coding. I am wondering about skin and uro codes... I am considering unlisted 55899 but this may not fly with the ASC. Here is the op note and I...
    • Kelly_Josephine
    • Thread
    • circumcising dartos hypospadias penoscrotal revision
    • Replies: 2
    • Forum: Urology
  12. M

    Wiki Nipple revision

    Patient had nipple reconstruction. The procedure failed and patient came back in for second nipple reconstruction. Do I code for another nipple reconstruction (19350) or for revision of reconstructed breast (19380)? Any input would be greatly appreciated!
  13. L

    Code for Revision of Vaginal Cuff, Removal of Knot

    I need help with a code. The doctor states that the patient is post-hysterectomy, and that the vaginal cuff has a knot in it that needs to be removed. The patient's partner can feel the knot left at the surgical site. I was looking for some sort of scar revision code...but nothing is popping...
    • LynaeH
    • Thread
    • hysterectomy revision vaginal cuff
    • Replies: 4
    • Forum: OB/GYN
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