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Thrombectomy?

  1. #1
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    Question Thrombectomy?
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    I code ED - Physician and have not seen anything quite like this before. Hopefully someone can help me. I need some help with procedure code and also diagnosis code, please.

    Pt left the ED with IV intact and returns 5 days later complaining of FB sensation in arm. Combined procedure note by resident and attending:

    "Attempted to remove possible FB visualized with US. In sterile fashion, the area of pain and palpable hard mass was incised & blunt disected. There appeared to be a thrombosed blood vessel. I opened the blood vessel & removed clots, but no foreign body was palpated or visualized. The pt was closed in sterile manner with 1 4.0 vicryl & dermabond, pt tolerated procedure well.

    Counseled pt still slight risk of retained FB but US I&D under direct visualization revealed only clots. Thrombectomy - no FB identified, clots removed."

    Thanks for any help!

    Tiffany, CPC

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by TAOSA View Post
    I code ED - Physician and have not seen anything quite like this before. Hopefully someone can help me. I need some help with procedure code and also diagnosis code, please.

    Pt left the ED with IV intact and returns 5 days later complaining of FB sensation in arm. Combined procedure note by resident and attending:

    "Attempted to remove possible FB visualized with US. In sterile fashion, the area of pain and palpable hard mass was incised & blunt disected. There appeared to be a thrombosed blood vessel. I opened the blood vessel & removed clots, but no foreign body was palpated or visualized. The pt was closed in sterile manner with 1 4.0 vicryl & dermabond, pt tolerated procedure well.

    Counseled pt still slight risk of retained FB but US I&D under direct visualization revealed only clots. Thrombectomy - no FB identified, clots removed."

    Thanks for any help!

    Tiffany, CPC
    I would look at 10140 since basically they went in and opened the blood vessel and cleared out clots. then closed it up.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Default
    Did the provider identify vessel? There is 34101 and 34111 to look at as well.
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

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