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Staged chest closure after open heart surgery

  1. Default Staged chest closure after open heart surgery
    Medical Coding Books
    Can you bill for a staged chest closure after you do an open heart surgery if the chest is unable to be closed at the time of the actual surgery? If so, what CPT codes would you use and is there a modifier to use other than -78 if done in the OR or -58 if not done in OR?

  2. Default
    I would use 13160-58. Secondary closure of surgical wound with a modifier 58 no matter where the service takes place because it is staged.

  3. #3
    Woodbridge, Virginia
    In our Cardiac practice we use CPT 21750-58 for delayed chest closure :-)

  4. Default
    We use 21750-58 as well. You can also use dx code V58.41

    Lisi, CPC

    and modifiers -58 and -78 do not depend on whether the patient went back to the OR or not. -58 indicates the 2nd procedure was planned, which this was. When the surgeon left the chest open, he knew he had to go back later to close it making it a planned procedure.

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