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Mediastinal re-exploration coding

  1. #1
    Location
    Columbus, Ohio
    Posts
    78
    Question Mediastinal re-exploration coding
    Medical Coding Books
    Can any one help guide me on a re-exploration of the chest , s/p CABG, for a mediastinal bleed or tamponade. I was told at one time to use 35820-78 but in a recent discussion with some other offices they use 39010-78 only. "Significant amount of blood clots were found in the pericardial space as well as both pleural spaces, a significant amount of irrigation was utilized to remove the clots." No vessel needed repaired. Any ideas??

  2. #2
    Location
    Richardson, TX
    Posts
    822
    Default
    Quote Originally Posted by DORINDAV View Post
    Can any one help guide me on a re-exploration of the chest , s/p CABG, for a mediastinal bleed or tamponade. I was told at one time to use 35820-78 but in a recent discussion with some other offices they use 39010-78 only. "Significant amount of blood clots were found in the pericardial space as well as both pleural spaces, a significant amount of irrigation was utilized to remove the clots." No vessel needed repaired. Any ideas??
    I wouldn't use 39010. I would use 35820 -78 because it is specifically states Exploration for postoperative hemorrhage, thrombosis or infection; chest. 39010 is for the Mediastinum. Just my thoughts.
    Julie Graham, BA, CPC, CCC

  3. #3
    Location
    Columbus, Ohio
    Posts
    78
    Default
    Thanks, I thought so too.

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