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RE: Table of Risk/Major Minor Surgery

  1. Default RE: Table of Risk/Major Minor Surgery
    Medical Coding Books
    Our doctors often do excisions of lipoma's and cysts under general anesthesia in a surgery center. Would you consider this a minor or major procedure. The definition of major surgery seems to indicate that when a person is put under general anesthesia that it is a major surgery. Just seems strange to put these under that category.

    Please give me your opinion.


    Thanks,

    Dee

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default 90 day global = major surgery
    A major surgery is defined as one which carries a 90-day global period.
    All other procedures are considered "minor" surgery.

    Elective major surgery is considered HIGH risk ONLY when there are clearlly identified risk factors (not the risk of the surgery, but co-morbidities that increase the risk to the patient).

    EMERGENCY major surgery is considered high risk (regardless of co-morbidities)

    For MINOR surgery it is low risk without co-morbidities, and moderate risk with identified risk factors.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Location
    Kansas City, MO
    Posts
    431
    Default
    Tessa,
    Is there a written guideline on this somewhere that links a 90 day global to this being a major surgery?

    I tend to lead toward minor sugery for most lipomas. Some are small and non-invasive, and can be done under some sort of local.

    Thank you.

  4. #4
    Location
    Richmond Virginia
    Posts
    501
    Default
    iF YOU READ CHAPTER 9 OF THE NCCI EDIT MANUAL IT DEFINES 90 DAY GLOBAL AS MAJOR SURGERY.

    (sry for caps)

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