I can remember my first "extreme case"... The patient was a victim of crime. She sustained a gun shot wound to the head. Our Neurosurgeon removed parts of the the skull (to allow for swelling) and placed them in her abdomen (sterile enviroment). At the time, I could not find any articles for such a procedure. We are the only Neurosurgeons in our city so the network was small. It took a couple of days but I finally came up with a series of codes I thought were appropriate. I consulted with my surgeon and he also agreed. Shortly thereafter, I found out there was a Neurosurgery forum. I presented my whole scenario and low and behold...we were correct, with one missed charge. I love extreme coding but I don't know that there is a "one stop shop" for your answers. Work closely with your providers and keep networking! Good Luck~
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