Anesthesia Coding Alert
Depth Determines Abdominal Silo Placement Code
Question: How should I code an abdominal silo placement, with diagnoses of status post liver transplant and open abdominal wound?
Answer: The best surgical code is probably 13160 (Secondary closure of surgical wound or dehiscence, extensive or complicated), but Crosswalk lists several anesthesia coding options. Many coding experts recommend 00700 (Anesthesia for procedures on upper anterior abdominal wall; not otherwise specified) or 00790 (Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified), depending on the depth of surgery.
Texas Subscriber
Report diagnosis codes V58.41 (Encounter for planned postoperative wound closure) and V42.7 (Organ or tissue replaced by transplant; liver), then the reason for the liver transplant. Also include modifier -58 (Staged or related procedure or service by the same physician during the postoperative period) because the procedure was planned as a staged procedure.
- You Be the Coder and Reader Questions were answered by Eileen Lorenco, RHIT, CS, CPC, anesthesia and pain management coder with Lahey Clinic, in Burlington, Mass.
Anesthesia Coding Alert
- NCCI 10.0 Starts the Year With Lots of Anesthesia Edits
Hundreds of procedures are bundled into the new anesthesia codes The latest version of the [...] - Piece Together Team Coding for Complex Surgeries, Part 2
CRNA role is another key to coding success When both a CRNA and an anesthesiologist [...] - You Be the Coder:
Is 01962 a Stand-Alone Code?
Question: Code 01962 (Anesthesia for urgent hysterectomy following delivery) isn't an add-on code. Should I [...] - Verify That You're Coding Teaching Cases Correctly
Know when the new coding option can help reimbursement New physician teaching rules went into [...] - Follow 4 Tips to Correctly Use the New Teaching Coding Option
Physician's presence must be documented Before you can report a case under the new guideline [...] - Reader Question:
Don't Charge for CRNA Cath Placement
Question: One of our CRNAs placed a urinary catheter for a patient who had general [...] - Reader Question:
Is 'Not Cleared' Valid Coding?
Question: We often see patients who have an arm or leg fracture with an additional [...] - Reader Question:
Choose 36620 for Arterial Line Placement
Question: A carrier recently began bundling brachial arterial lines with the primary procedure (such as [...] - Reader Question:
Check LMRP to Support 76095
Question: Which diagnosis codes support medical necessity or medical indications for billing 76095?
Alabama Subscriber
Answer: Common [...] - Reader Question:
Procedure Approach = Filter Cross Code
Question: The surgeon performed a Greenfield filter procedure, going through the femoral artery to the [...] - Reader Question:
Depth Determines Abdominal Silo Placement Code
Question: How should I code an abdominal silo placement, with diagnoses of status post liver [...]
