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aberrant lingular artery - can it be coded?

maryir

Networker
Messages
44
Location
San Jose, CA
Best answers
0
Please see bolded/underlined area - I believe this can be coded but have no idea which code to use - any assistance would be appreciated.

We then turned our attention to the left lingular nodule. This was quite
deep within the lingular lobe and required anatomic segmentectomy. We
first dissected out the fissure and easily saw the pulmonary artery branch
going into the lingula. This was ligated with a silk tie and a clip. We
then dissected out the lingular vein, assuring that the upper veins were
preserved and took this with an endoscopic linear stapler vascular load.
We then dissected out the left lingular bronchus and took this with an
endoscopic linear stapler, black load, after assuring through inflating the
lung that only the lingula was taken. We then stapled across the
parenchyma, dividing the lingula and the other segments of the left upper
lobe. This afforded us a very good margin, at least several centimeters
with the tumor. We stapled across this using an endoscopic linear stapler,
black load.

While doing this, it was noted that there was an aberrant lingular artery
coming under the pulmonary veins and then going into the lingula. This was
noted and stapled with an endoscopic linear stapler, vascular load. The
specimen was then removed. The chest was irrigated copiously and
hemostasis was achieved.[/
B]

We placed a #32 straight chest tube into the apex of the chest and inflated the lung under direct vision.
 

bettygil

Guest
Messages
4
Best answers
0
Please help. Does anybody know of a facility that would be willing to give me hands-on experience in CODING? I am very eager and excited to start my career as a coder.
 

Torilinne

Networker
Messages
77
Location
Denver CO
Best answers
0
Aberrant artery

Usually incidental findings are not coded in a procedure such as this. There is a need to show medical necessity and, per the note, I don't see a medically necessary reason to have removed that artery. If there was a sign/symptom that is related to the presence of the artery and the need can be shown that the artery should be removed to benefit the patient, then perhaps an unlisted code could be used. That would be a tough one, however, based on the note.

There is a code for the ligation of a major artery of the chest but this doesn't seem to fit that description either. I would vote for "not able to be coded"....any other thoughts?

Torilinne
CPC, CGIC
 

maryir

Networker
Messages
44
Location
San Jose, CA
Best answers
0
Aberrant artery

Thanks Torilinne for you insight. I see your point and will not be charging for the service, although disappointed at not being able to.
 
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