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Packing, Repair and Placement HELP

  1. #1
    Question Packing, Repair and Placement HELP
    Medical Coding Books
    Can some on please help me out with these procedures?

    1. Packing of complex hepatic injury
    2. Repair of muscular serosal injury to the anterior pylorus
    3. Placement of abdominal vacuum-assisted device.

    I was able to code the first procedures:

    Right femoral vein central line placement= 36556
    Damage control laparotomy = 49000 (I believe I do not report this)
    Left hepatic trisegmentectomy = 47122
    Ligation of portal vein = 37761
    Cholecystectomy = 47600

    Can you please assist me? I can not post the entire post



  2. Default
    Depending on the details, there might be something in the 47350-47362 series for your 1st item, but if this was all at one session, I don't believe it's likely to be covered in addition to the trisegmentectomy. You don't want to use 37761 for ligation of the portal vein, it isn't in the leg. The wound vac is probably a 97606. Pyloric repair might qualify for a 43840.

  3. Default
    I'd suggested 47112 43840. Seems like the ligation is part of the resection, the chole is bundled with the segmentectomy, and the wound vac is part of the "dressings". Just my opinion based off the limited data.

    Good luck!

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