xiphoid resection

Anna Weaver

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Can someone help me please? I have a patient who will be having a xiphoid resection. We need authorization and the only code I can find is an unlisted 21899, no matter how I put this in. The reason is sternal mass (786.6). Can anyone find anything other than the unlisted code?
 

LLovett

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What about 21620 Ostectomy of sternum, partial.

The physician removes a portion of the sternum from the chest. With the patient under anesthesia, the physician makes an incision in the skin overlying the sternum. This is carried deep through the subcutaneous tissues to the bone. The sternum is identified and the attached soft tissues are dissected from the bone. The physician marks the portion of the sternum to be removed. The bone is cut in the appropriate places using a saw and other surgical instruments. The remaining portion of the bone is irrigated and smoothed as needed. The wound is closed in layers and a dressing is applied.

Just a thought,

Laura, CPC
 
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