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excise sinus tract w/removal foreign body

  1. #1
    Location
    Northeast Kansas AAPC
    Posts
    270
    Default excise sinus tract w/removal foreign body
    Medical Coding Books
    Would you code this note as 10120 or 10121 or something else:

    An elliptical incision was made transversely and this tract was excised down to the abdominal wall. Getting down to this area, there were two Ethibond sutures which were removed. It did not appear to go into the abdominal wall itself and the fistula was taken down to healthy tissue. There were no signs of a hernia. Deep tissues were closed with interrupted 000 Vicryl. Skin edges were closed with interrupted 4-0 nylon simple sutures. Sterile dressing was applied.

    Thanks

  2. #2
    Location
    Alexandria Minnesota Chapter
    Posts
    50
    Default
    Is there documentation to support 49402? (Removal of foreign body from peritoneal cavity)
    Also, what is the length of the closure? I would bill an intermediate (layered) closure (12031-12037)

  3. #3
    Location
    Johnson City
    Posts
    202
    Default
    In this instance I code 13160, 15002. Read the description closely for code 15002 it states excision of open wound, burn, or scar.... and code 13160 is the secondary closure.

    Hope this helps.
    Melissa Jewett, CPC

  4. #4
    Location
    Northeast Kansas AAPC
    Posts
    270
    Wink
    Thanks for the input!!!!!!!

  5. #5
    Location
    Albany, New York
    Posts
    456
    Smile
    Based on your procedure description, I would use 13160 only.
    I would only use 15002 in conjunction with a skin graft procedures.
    Karen Maloney, CPC
    Data Quality Specialist

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