I have an interesting op note that I would like to see if anyone else has ever had this come up.
This is the list of procedures:
1. Redo sternotomy
2. Replacement of aortic valve with 23mm mosaic bioprosthetic valve.
3. Replacement of the ascending aorta and proximal aortic arch with a 26mm Dacron tube graft.
4. Right upper lobe wedge biopsy of nodule.
5. Right endoscopic saphenous vein harvest.
6. Hypothermic circulatory arrest.
All of that was done and it took a long time, 6 page op note. The thing is they never intended to do and did not do a CABG. The op note clearly reflects VATS harvesting of the saphenous vein and that is the only time it is mentioned. Based on the note it was never used. When I code this out it ends up being
33863-22
32500-51
36625-51
33508
Problem is, there is no primary procedure for the 33508 to go with so it is kicking out in the edits. I will be talking to the surgeon about this case, but I just wanted to see if anyone else has ever had this type of situation.
Thanks for your input
Laura, CPC
This is the list of procedures:
1. Redo sternotomy
2. Replacement of aortic valve with 23mm mosaic bioprosthetic valve.
3. Replacement of the ascending aorta and proximal aortic arch with a 26mm Dacron tube graft.
4. Right upper lobe wedge biopsy of nodule.
5. Right endoscopic saphenous vein harvest.
6. Hypothermic circulatory arrest.
All of that was done and it took a long time, 6 page op note. The thing is they never intended to do and did not do a CABG. The op note clearly reflects VATS harvesting of the saphenous vein and that is the only time it is mentioned. Based on the note it was never used. When I code this out it ends up being
33863-22
32500-51
36625-51
33508
Problem is, there is no primary procedure for the 33508 to go with so it is kicking out in the edits. I will be talking to the surgeon about this case, but I just wanted to see if anyone else has ever had this type of situation.
Thanks for your input
Laura, CPC