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Neurosurgery Coding Alert

You Be the Coder:

I&D of Spinal Osteomyelitis

Published on Thu Apr 04, 2024

Question: Encounter notes indicate that during an office evaluation and management (E/M) service for a new patient, the surgeon ordered an ultrasound (US) of the spinal canal, which was performed by a radiologist. Upon viewing the US, the surgeon diagnosed cervicothoracic osteomyelitis; the next day, they performed open incision and drainage (I&D) of the cervicothoracic spine. Notes indicate the surgeon performed [...]
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