Results 1 to 5 of 5

Please help quick

  1. #1
    Default Please help quick
    Medical Coding Books
    I have a patient that came in for endometriosis and pelvic pain. She had a scheduled bilateral salpingo-oophorectomy and extremely extensive lysis of adhesions (per physican). During post-op, the patient went back to the OR for evacuation of a post-op hemoperitoneun and ligation of rectosigmoid mesentric bleeding. Without having both op notes to read, I was hoping that someone might be able to tell me if I am at least on the right track. Oh, and the patient was also being tranfused with blood during the second procedure as well. Will that be coded separately as well? I went with:

    58661
    58660-59
    35840-78

    Am I off track?

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Hi Leslie - 58660 is inclusive to 58661 so it cannot be reported even with mod -59. If documentation supports the "extensive adhesions" I would use 58661-22. Your doc must document what was extensive about them and how much extra time it took to remove them.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Default
    Ok, thanks Lisa, and thanks for the quick reply. The documentation definitely supports the -22 so I'll add that. What about the other code? Was that right? And what about the transfusion that was given simultaneously, is it incidental to the procedure? I appreciate all of your help!!

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Leslie - I'm not sure on the 3rd code, but it appears to be appropriate. Mod -78 would be the correct modifier. As far as the transfusion question - I don't think a physician can code for this since he/she is not performing it - it would be for the facility to code.
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Default
    Ok, thanks again I actually am doing the facility fees on this as well, and I really do appreciate all of your help.

Similar Threads

  1. Need help quick!
    By jdibble in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 09-09-2013, 09:05 AM
  2. Please help, quick question!!
    By CMBA4 in forum Behavioral Health
    Replies: 2
    Last Post: 06-28-2012, 01:46 PM
  3. Need a quick audit?
    By valleycoder in forum Resume Postings
    Replies: 1
    Last Post: 11-24-2010, 11:26 AM
  4. Need quick help!
    By kmillsaps in forum Family Practice
    Replies: 3
    Last Post: 09-09-2008, 01:27 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.