mieka.schambach
Contributor
Please help code the following, we coded as so, but 2 of the codes are add on codes and keep denying as not billed with primary code. However, physician did not perform either primary procedure:
Procedures: Robotic colostomy takedown with colorectal anastomosis.; Robotic incisional hernia repair.; Robotic splenic flexure takedown.; Placement of a biologic xenograft.
Problems
DIVERTICULITIS OF COLON (WITHOUT HEMORRHAGE) (562.11), Acute sigmoid diverticulitis - with macro-perforation - s/p Hartmann's procedure, now with colostomy. (assessed)
COLOSTOMY STATUS (V44.3),
OTHER VENTRAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE (553.29), Peristomal and incisional ventral hernias. (assessed)
Orders The following tests/treatments were performed:
LAPAROSCOPY, SURGICAL, CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE, WITH RESECTION AND ANASTOMOSIS (44227), Note: Robotic colostomy takedown with colorectal anastomosis. , DIVERTICULITIS OF COLON (WITHOUT HEMORRHAGE) (562.11), COLOSTOMY STATUS (V44.3)
LAPAROSCOPY, SURGICAL, MOBILIZATION (TAKE-DOWN) OF SPLENIC FLEXURE PERFORMED IN CONJUNCTION WITH PARTIAL COLECTOMY (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE) (44213), Note: Robotic splenic flexure takedown.,Indication(s): DIVERTICULITIS OF COLON (WITHOUT HEMORRHAGE) (562.11), COLOSTOMY STATUS (V44.3)
LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED (49655-51), Note: Robotic Incisional Hernia Repair Indication(s): OTHER VENTRAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE (553.29)
IMPLANTATION OF BIOLOGIC IMPLANT (EG, ACELLULAR DERMAL MATRIX) FOR SOFT TISSUE REINFORCEMENT (IE, BREAST, TRUNK) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) (15777), Note: Placement of a biologic xenograft., Indication(s): DIVERTICULITIS OF COLON (WITHOUT HEMORRHAGE) (562.11), COLOSTOMY STATUS (V44.3), OTHER VENTRAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE (553.29)
Procedures: Robotic colostomy takedown with colorectal anastomosis.; Robotic incisional hernia repair.; Robotic splenic flexure takedown.; Placement of a biologic xenograft.
Problems
DIVERTICULITIS OF COLON (WITHOUT HEMORRHAGE) (562.11), Acute sigmoid diverticulitis - with macro-perforation - s/p Hartmann's procedure, now with colostomy. (assessed)
COLOSTOMY STATUS (V44.3),
OTHER VENTRAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE (553.29), Peristomal and incisional ventral hernias. (assessed)
Orders The following tests/treatments were performed:
LAPAROSCOPY, SURGICAL, CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE, WITH RESECTION AND ANASTOMOSIS (44227), Note: Robotic colostomy takedown with colorectal anastomosis. , DIVERTICULITIS OF COLON (WITHOUT HEMORRHAGE) (562.11), COLOSTOMY STATUS (V44.3)
LAPAROSCOPY, SURGICAL, MOBILIZATION (TAKE-DOWN) OF SPLENIC FLEXURE PERFORMED IN CONJUNCTION WITH PARTIAL COLECTOMY (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE) (44213), Note: Robotic splenic flexure takedown.,Indication(s): DIVERTICULITIS OF COLON (WITHOUT HEMORRHAGE) (562.11), COLOSTOMY STATUS (V44.3)
LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED (49655-51), Note: Robotic Incisional Hernia Repair Indication(s): OTHER VENTRAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE (553.29)
IMPLANTATION OF BIOLOGIC IMPLANT (EG, ACELLULAR DERMAL MATRIX) FOR SOFT TISSUE REINFORCEMENT (IE, BREAST, TRUNK) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) (15777), Note: Placement of a biologic xenograft., Indication(s): DIVERTICULITIS OF COLON (WITHOUT HEMORRHAGE) (562.11), COLOSTOMY STATUS (V44.3), OTHER VENTRAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE (553.29)