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wound washout s/p exp lap

  1. #1
    Default wound washout s/p exp lap
    Medical Coding Books
    hello everyone,
    one of my trauma docs poses the question:

    can we bill for an abdominal washout s/p exp lap, and the pt's abdomen is let open?

    also, if the pt undergoes multiple washouts (sometimes up to 20) while in the global period, is that billable?

    there are no other procedures done, just the washout, and wound vac placement.
    Malama pono,

    Sundae Yomes
    CPC, CPMA, CEMC, CGIC, CGSC, CCS-P

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    yes the washouts can be billed with the appropriate modifier and documentation however many times it takes

  3. #3
    Default
    so what code are you looking at?
    Malama pono,

    Sundae Yomes
    CPC, CPMA, CEMC, CGIC, CGSC, CCS-P

  4. #4
    Default
    What codes would be appropriate to use for these washouts?
    Thank you

  5. #5
    Default
    I would be interested to know also.
    Thanks

  6. #6
    Default Would VAC Washout and changes
    I would be interested in hearing about codes also. I have used the 97598 codes but the surgeon I work for asked me if we could use the 16000 series codes for treating burns. He treats non-healing wounds on diabetic patients. Any advice would be helpful!

  7. #7
    Location
    Milwaukee WI
    Posts
    4,466
    Default Burn treatment codes
    Burn treatment codes are strictly for treatment of burns. Cannot be used for other applications.

    F Tessa Bartels, CPC, CEMC

  8. #8
    Default
    13160

  9. Default
    If the abdomen was left open, we wouldn't charge for a closure, would we? What about 11005? I would love to hear more thoughts on this.

  10. #10
    Default
    we have used 49002 with a 58 modifier. We have discussed this scenerio at multiple conferences and have not been told this was not acceptable practice. the vac-pack and all lap pads and packing have to be removed to re-explore and washout the abdomen. If any of you know of any contraindications for using this method of coding this particular procedure, please advise. Thanks.

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