Wiki surgical repair

[lindafay1123]

Patient was admitted on January 10 for planned surgical repair of left carotid artery stenosis. He was taken to the OR where Dr Peters performed a thromboendarterectomy of the left carotid artery with patch graft. He was stable while in recovery and was transferred to the surgical ward when a bed was available Dr Peters stopped by to see the patient later in the evening on the 10th. He stopped by the morning of the 1/11 and noted that the patient was doing well and could be discharged later in the day. The patient was discharged home on the 11th with instructions to follow-up with Dr. Peters on the 18th. Assign the appropriate ICD-9-CM and CPT codes for the following:

would i use 35301? and v58.73

 

[mcknightandpaula@comcast.net]

Patient was admitted on January 10 for planned surgical repair of left carotid artery stenosis. He was taken to the OR where Dr Peters performed a thromboendarterectomy of the left carotid artery with patch graft. He was stable while in recovery and was transferred to the surgical ward when a bed was available Dr Peters stopped by to see the patient later in the evening on the 10th. He stopped by the morning of the 1/11 and noted that the patient was doing well and could be discharged later in the day. The patient was discharged home on the 11th with instructions to follow-up with Dr. Peters on the 18th. Assign the appropriate ICD-9-CM and CPT codes for the following:

would i use 35301? and v58.73

I would look in dischard chart that woul be a good code

 

[mcknightandpaula@comcast.net]

Patient was admitted on January 10 for planned surgical repair of left carotid artery stenosis. He was taken to the OR where Dr Peters performed a thromboendarterectomy of the left carotid artery with patch graft. He was stable while in recovery and was transferred to the surgical ward when a bed was available Dr Peters stopped by to see the patient later in the evening on the 10th. He stopped by the morning of the 1/11 and noted that the patient was doing well and could be discharged later in the day. The patient was discharged home on the 11th with instructions to follow-up with Dr. Peters on the 18th. Assign the appropriate ICD-9-CM and CPT codes for the following:

would i use 35301? and v58.73

I would look in dischard chart that woul be a good code

 

[bwolfe1]

1/10/XX

35301 Thromboendarterectomy with graft, carotid
433.10 Occulusion and stenosis of carotid artery w/o mention of infarction

1/11/XX

99238 Hospital discharge day management
433.10
V58.73

 

[FTessaBartels]

35301 has 90-day global

You cannot code the hospital visits subsequent to the procedure, as CPT 35301 has a 90-day global period.

Hope that helps.

F Tessa Bartels, CPC, CEMC