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Help - about surgery

  1. #1
    Location
    St Louis, MO.
    Posts
    19
    Default Help - about surgery
    Medical Coding Books
    I am trying to help out a student that is doing her extership with me and I really don't know to much about surgery. If you can just give some help on the icd-9 and cpt codes that would be great.

    PT. was admitted on Jan 10 for a planned surgical repair of left carotid artery stenosis. He was taken to the OR where Dr. S performed a thromboendarterectomy of the left carotid artery with patch graft. He was stable while in recovery and was transferred to the surgical ward when a bed was avablable. Dr. S stopped by to see the patient later in the evening on the 10th. He stopped the morning of the Jan 11 and noted that the patient was doing well and could be discharged later in the day. The PT was discharged home on the 11th with instructions to follow-up with Dr. S on the 18th. Need the ICD-9 and CPT codes for the following

    Jan 10:
    Jan11:

  2. Default
    All services would be global. I would use diagnosis V58.73 (Aftercare following surgery of the circulatory system).

    ~L
    CPC, CGSC, COSC

  3. #3
    Location
    St Louis, MO.
    Posts
    19
    Default
    Not sure If I am still doing this right.

    So on Jan 10th 35301-54, 35301-55 with a V58.73

    then on Jan 11th just a hospital d/c 99238 with a V58.73



  4. Default
    The discharge for the 11th would be global to the surgical procedure the day before (90 day global period).

    ~L
    CPC, CGSC, COSC

  5. Smile
    Ok Lets Start At The Begining The Correct Icd-9 Code For Carotid Stenosis Is 433.10 Or 433.11 Depending On If The Pt Had A Stroke.
    The Same Surgeon Preformed The Preop, Surgery And Post Op Care So The Only Cpt For The 10th Would Be 35301 No Modifier Needed. You Would Not Be Able To Bill For The Discharge Because It Has A 90 Day Global Period. Hope This Helps

  6. #6
    Default Jan 11-discharge
    i know the discharge is included in the global. if patient is being discharged on jan 11, would code 99238?

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