Inpatient Facility Coding & Compliance Alert
Laparoscopic Salpingectomy Reverts to Open Code
Question: I’m coding for a patient who had a laparoscopic salpingectomy, but am not finding supporting codes in Volume 3 of ICD-9-CM. What should I report?
Kansas Subscriber
Answer: Volume 3 does not include specific code assignments for laparoscopic salpingectomy, which means your code assignment defaults to the open approach. Your choices include:
Approach note: If the surgeon performed the procedure with robotic assistance, you’ll include an additional code as a secondary procedure:
Inpatient Facility Coding & Compliance Alert
- Inpatient Admissions:
Get the Facts on 'Unforeseen Circumstances' vs. 'Exceptions' to 2-Midnight Rule
Here’s the scoop from the latest CMS provider call. The FY 2014 Inpatient Prospective Payment [...] - Cardiology:
Don't Miss This Big Change to Non-Selective Renal Angiography Coding
Updated code use is retroactive to DOS for Jan. 1, 2014 and later. CMS recently [...] - ICD-10-PCS:
Follow 3 Steps to Change Your Transplant Coding in 2014
Hint: Focus on allogeneic, syngeneic, and zooplastic to choose the best 7th character. If your [...] - Reader Question:
Check 89060 for Polarizing Microscopy Service
Question: The pathologist examined a bursa fluid aspirate smear from the left elbow, identifying reactive [...] - Reader Question:
Let Documentation Guide Your Selection of Principal Diagnosis
Question: A patient was admitted through the Emergency Department with fluid overload. He has ESRD [...] - Reader Question:
Laparoscopic Salpingectomy Reverts to Open Code
Question: I’m coding for a patient who had a laparoscopic salpingectomy, but am not finding [...] - Reader Question:
Use Time Documentation to Determine Critical Care, CPR, or Both
Question: A 65-year-old disabled patient presented to the ED with nausea, vomiting, and diarrhea, along [...] - Reader Question:
Counting Down Until Windows XP Won't Be HIPAA Compliant
Question: One of our IT managers said the hospital won’t be able to use Windows [...] - Reader Question:
Start With 20680 for Screw Extraction
Question: An orthopedic surgeon’s note states, “Previous incisions incised.....bluntly dissected down onto screw heads. Guidewires [...] - You Be the Coder:
Criteria for Changing Patient Status
Question: A patient was formally admitted as an inpatient, per physician orders. The Utilization Review [...]
