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removal of umbilical cord

  1. #1
    Default removal of umbilical cord
    Medical Coding Books
    Is there a procedure code for removal of a retained umbilical cord? I cannot find one. Dr said he did not do much in the way of an office visit, just removed the cord using silver nitrate sticks. Thanks!

    This is a question I received. I answered with:

    I find a dx code 779.83 delayed separation of umbilical cord, but I can't find anything to remove it either. The only code for umbilectomy (49250) requires surgery. So, this would just be inclusive to the E/M visit. If he doesn't have enough to do a regular E/M, then you might consider the unlisted E/M code and send whatever documentation you have.

    Does anyone have a better answer? The Dr didn't like this one. He thinks there should be a procedure code.

    His response:
    Dr is not happy with this answer. He says it is a procedure not an E/M.

    So, if anyone can help I would appreciate any and all responses. Thanks!

  2. #2
    Default
    We code ours with 17250 for Silver Nitrate and the dx 779.83 or 686.1

  3. #3
    Default removal
    Thank you. That may be what I end up with. I have been at a loss with this one.

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