Wiki Burr Hole PCS

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staceylh

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Patient was taken to the OR for burr hole drainage of subdural hematoma. Small incision made in the right temporal area and then burr hole with drain placement. We didn't code this to an open procedure because the skull didn't have to be opened prior to the drill. Are we correct? Or would someone else be coding to open because of the initial incision? Thanks!
 
You are right. A burr hole is a small hole that is drilled through the skull to assess a targeted local area, in this case percutaneous approach is appropriate.
 
00943ZZ - Drainage of Subdural Space, Percutaneous Approach

It would require a Craniotomy to be considered open. Even endoscopic approach requires a small incision to place ports so that is not a deciding factor
 
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