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Thread: icd9 s/p ureteral stent placement

  1. #1

    Question icd9 s/p ureteral stent placement

    AAPC: CPC Promo
    Can someone tell me what ICD9 would be appropriate for S/P ureteral stent placement?

  2. #2
    Join Date
    Apr 2007
    Location
    Carolina Coders, Charlotte, NC
    Posts
    9

    Default Diagnosis For stent placement

    The diagnosis most commonly used here is 592.1 (ureteral stone)or 593.3 stricture-post op. Our physicians are called to the OR quite often to place stents to mark the ureters to avoid injury to them when surgery is being preformed by another physician (e.g. hysterectomy). In that case, I use the diagnosis of the surgery.
    I hope this helps you!

    Lisa Fudge CPC,CPMA
    Carolina Urology Center, P.A.

  3. #3

    Default

    Thank you that does help alot.

  4. #4
    Join Date
    Apr 2007
    Posts
    588

    Default

    I'm in disagreement with the previous coder. If the dx is s/p ureteral stent placement then wouldn't you use a follow-up code? You can only code what the MD documents. Did he document (ureteral stone)or stricture-post op? If it isn't documented then it didn't happen as per coding guidelines.

  5. #5

    Default

    I agree with Tonyj. You can't code what isn't documented! There isn't a specific code that I know of for s/p stent placement. I would use a follow-up code or query the MD for something more specific.
    Julianne Sheetz, CPC

  6. #6

    Default s/p uretral stent

    which code may could to use for this dx, (v45.82)????????????

  7. #7
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,083

    Default

    V67.00 or V67.09 works just fine for follow-up. And I too disagree with using the reason a stent was inserted as the follow up or post op dx. You must be accurate on the dx always and when it is documented as a followup visit then use the V67.xx codes for follow up. If it is post op and there is still something being done for the patient such as dressing changes or suture removal then it is appropriate to use the aftercare codes which are also V codes.

    Debra A. Mitchell, MSPH, CPC-H

  8. #8

    Default ureteral stent

    icd 9 for the placement of the ureteral stent is 59.8 The s/p code would depend on the documentation provided.

  9. #9
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,083

    Default

    Quote Originally Posted by niana View Post
    icd 9 for the placement of the ureteral stent is 59.8 The s/p code would depend on the documentation provided.
    That is a procedure code for inpatient facility use only.

    Debra A. Mitchell, MSPH, CPC-H

  10. #10

    Default

    You want to use 996.76

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