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Mediastinotomy for cardiopulm bypass placement

  1. Default Mediastinotomy for cardiopulm bypass placement
    Medical Coding Books
    My surgeon was asked to place a patient on cardiopulmonary bypass so that the primary surgeon could excise a rt renal mass with caval thrombosis extending into the rt atrium.
    My surgeon did a mediastinotomy with placing the pt on aorto atrial femoral bypass. How do I code this???? This is my first post so I hope I"ve done it correctly! Any suggestions would be most apprieciated!!

  2. #2
    I just had to do this with my surgeon. 39010-62 was the code I used. I did not have to do a bypass though. Just looked this all up and nothing about a bypass is mentioned in the procedure. don't know if this will help you or not
    Last edited by rykin7600; 01-05-2012 at 10:10 AM.

  3. Default
    I was going to use the 39010 but with a 66 modifier. All my surgeon did was place pt on bypass.
    Thanks for helping me feel better about my choice of code!

  4. #4
    Central Philadelphia chapter
    It sounds like your part of the procedure (mediastinotomy w/placing pt on bypass) is integral component of total procedure. I think you should have coordinated this with the primary surgeon. You should use the codes the primary surgeon uses for excising a rt renal mass with caval thrombosis extending into the rt atrium. Modifier 62 should be appended by both primary surgeons and your surgeon. Your surgeon should do a separate op-note.
    Sorry for late response.

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