We have a physician who took a patient to the OR for a large pelvic mass (left of the rectal and anal canal with extensive suprasphincteric component and presacral component). There was an opening below the sacrum that was draining. He did a digital rectal exam and with digital pressure he was able to drain purulent material so he went in through the opening and placed a Malecot catheter for drainage. Since there was not an incision done how would this be coded? The closest thing we could come up with was 58823 but it is a male and that is a female code. Any suggestions would be greatly appreciated.
- Medical Coding
- Medical Billing
- Practice Management
- Exam Preparation
- Other Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Software / Digital
- Code Lookup (AAPC Coder)
- Virtual Coding Experience (Practicode)
- E/M Analyzer
- CPT RVU Calculator
- Health Plan Search (Provider Policies)
- Log In / Join