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Wiki Reopening Craniotomy

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melanie.post@outlook.com

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I have a note for a pt. who had reopening of right frontotemporal parietal craniotomy with wound debridement & removal of mesh, cranioplasty & complex wound closure. I believe I can do 61320-supratentorial drainage of abscess, and code the complex wound closure, but I am not sure if I also need a code for the debridement, removal of mesh, & cranioplasty or if that is included with the craniotomy.
Thanks!
Melanie Post, CPC-A
 
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reopening craniotomy

I just hit this question in the Practicode. If not for these forums I would have been stumped for a bit. Another coder I forget who recommended 62142 which is for removal of bone flap under Craniotomy however you need to add modifier 78 for the unplanned return to the operating/procedure room. I added the code for complex wound closure and the answer DID NOT INCLUDE THIS
 
melanie.post@outlook.com said:
I have a note for a pt. who had reopening of right frontotemporal parietal craniotomy with wound debridement & removal of mesh, cranioplasty & complex wound closure. I believe I can do 61320-supratentorial drainage of abscess, and code the complex wound closure, but I am not sure if I also need a code for the debridement, removal of mesh, & cranioplasty or if that is included with the craniotomy.
Thanks!
Melanie Post, CPC-A
Click to expand...
code 62142 with modifier 78 for unplanned return.
T81.42XA WITH B95.8
 
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