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Sternal wound post CABG

  1. #1
    Location
    Mansfield, OH
    Posts
    23
    Default Sternal wound post CABG
    Medical Coding Books
    Can anyone give me a hand coding :

    infected sternal wound w/ malunion of sternum post CABG.

    thanks

  2. #2
    Default
    dx CODE??? TRY 998.59 & 998.31
    Last edited by Coder708; 08-05-2010 at 01:30 PM.

  3. #3
    Location
    Stuart, Florida
    Posts
    331
    Default
    You asked this question yesterday.

    http://www.aapc.com/memberarea/forum...ad.php?t=39926

    I answered there.

    Disruption of a wound and malunion of the sternum are not the same thing, so 998.31 would be incorrect.
    Vanessa Mier, CPC

  4. #4
    Location
    Mansfield, OH
    Posts
    23
    Default
    thank you. Sorry about the duplicate post

  5. Default
    Disruption of a wound and malunion of the sternum are not the same thing, so 998.31 would be incorrect.
    __________________
    Vanessa Mier, CPC

    With your kind permission can I cross in between you, Tianne and Coder 708, please?

    Well , they are not the same condition but both can very well coexist. Why not?So as Coder 708 said, both to be coded. It is a combination code. If we know the infection to identify the infection, it is good to code too.

    The sequencing would be 998.59 and 998.31 because, the combination code is to be assigned as the principal/primary or first listed.
    Am I right?!

  6. #6
    Location
    Stuart, Florida
    Posts
    331
    Default
    They can very well co-exist but if the documentation does not support, you cannot assume that they ARE co-existing.
    Vanessa Mier, CPC

  7. Default
    Yes indeed 'No document it didnot happen'-A rule of Thumb. That goes without saying many a time if not every time.
    But here she gave the statement as" infected sternal wound w/ malunion of sternum post CABG. there is a "with". Dont we take it for granted it is the document the provider gave to her/him and she passed it on to the forum?

    Sorry Ohn0disaster, it is my polite openion only. Thank you any way .

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