Anesthesia Coding Alert

Reader Question:

Rib Surgery Code 21810 Crosses to 00472

Question:  I’m coding for anesthesia during rib plating surgery. The surgeon completed four procedures: plating of ribs 6 and 7, right side; placement of on-Q pump with two catheters; placement of two chest tubes; and placement of a JP drain. Would 00520 be the correct anesthesia code?


New Hampshire Subscriber

Answer:  The procedure you describe fits code 21810 (Treatment of rib fracture requiring external fixation [flail chest]). This crosses to anesthesia code 00472 (Anesthesia for partial rib resection; thoracoplasty [any type]), which carries a base unit value of 10. It is the only anesthesia cross code for 21810 and is more accurate than 00520 (Anesthesia for closed chest procedures; [including bronchoscopy] not otherwise specified).

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