Wiki dx code

[alices]

Good morning everyone

I have a pt (ER) that came in for disruption of c-sect wound on 10/22, pt had baby on 8/4/11 and this is second time this has happened to her 1st time 9/1/11 so my question is would you code 99832 disrupt ext wound or can I still use the 67414 disrut c-sect even though it isn't in the postpartum period, because of the c-sect, my thought was no at 1st but then I started 2nd guessing myself..thanks alice

 

[Evelyn Kim]

I would use the 67414 because it is related to the C-Section. If you look at the excludes notes for 99832:

Excludes: adverse effects of medicinal agents (001.0-799.9, 995.0-995.8)
burns from local applications and irradiation (940.0-949.5)
complications of:
conditions for which the procedure was performed
procedures during abortion, labor, and delivery (630-676.9) since it is a wound that occured during the delivery I would use the 67414.

 

[alices]

re-dx codes

Thank you for your help...alice