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Thread: Delayed Lumbar CSF leak

  1. #1
    Join Date
    Apr 2007
    Posts
    33

    Default Delayed Lumbar CSF leak

    Promo: Code Books
    Hello, Hope you can help.
    Patient had a lumbar lami done a week ago, went home then developed a CSF leak, with spinal headache. Had to go back to surgery to find and fix the leak. Would I use the 349.39 code for the CSF leak, or would it be a complication of surgery since it was delayed- 997.09; E878.8

    Thanks,
    cld

  2. #2
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,126

    Default

    I always question the physician when this scenario occurs... (Excerpt from the link below)

    "the fact that the problem is a complication due to a procedure must be documented by the physician; the coder cannot make this determination.* ... "

    There are different diagnosis codes depending on the documenation.

    http://www.cdc.gov/nchs/ppt/icd9/att...r08B_97-03.ppt

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