• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Mediastinotomy/ removal of Rib Bone

Create Wiki
T

twilson2

Guest
Messages
7
Best answers
0
I coded the following OP Notes with 39000 and 11044-51:

The Surgeon disagrees- He feels it should be 21600 and NOT 39000.

The OP Notes Read:

The inferior aspect of the mediastinotomy wound on the right side was incised. We noticed there was a sinus tract, which was excised completely en bloc creating an egg-shaped defect. We noticed that the sinus tract connected to the edge of the rib, which required excision with bone cautery. Approximately 1 inch of the bone was excised. Once we had debrided to the sinus tract we proceeded to use the curet instrument to further debride the area.

Who is right? Me or Him?
HELP!!!
 
I don't think either one of you are wrong, but i would have to agree the 21600 would be the best code for the information you have given. According to the coders desk reference i have 21600 includes debridement and irrigation around the area.
 
You must log in or register to reply here.
Top