Jenetteis
Networker
Patient is seen for first postpartum visit on day #22, s/p primary low transverse cesarean. Patient c/o small amount of yellow/pinkish discharge from incision site. denies odor or pain.
On PE, steri strips removed. wound dehiscence measuring 1cm at center of incision, area non-erythematous and not warm. only tender to palpation. tracking noted 7cm inside incision site to patient's right. purulent drainage noted. sample collected for culture. packed with 0.5" plain packing strip and covered with gauze dressing and paper tape.
Assessment/Plan: Return every day this week for wound packing changes.
Patient is seen the next 10 days for wound repacking with various physicians at the clinic. I am not sure what to code bill here.
Do I code an E/M (99211-215) for each visit?
Should I add 99024 (Post op f/u visit) for each visits with the physician who preformed the c-section?
What about 12021- treatment of superficial wound dehiscence, with packing?
Example:
POD1:
12021(10 FUD) - O90.0: Disruption of Cesarean Delivery Wound; T81.40XA: Infection following a procedure, unspecified, initial encounter
99212,24 - O90.0: Disruption of Cesarean Delivery Wound; T81.40XA: Infection following a procedure, unspecified, initial encounter
99024 - O90.0: Disruption of Cesarean Delivery Wound; T81.40XA: Infection following a procedure, unspecified, initial encounter
MISCGLOBAL - Z39.2: Encounter for routine postpartum follow-up
POD2:
99024 - O90.0: Disruption of Cesarean Delivery Wound; T81.40XA: Infection following a procedure, unspecified, initial encounter
Any assistance is appreciated. Thank you!
On PE, steri strips removed. wound dehiscence measuring 1cm at center of incision, area non-erythematous and not warm. only tender to palpation. tracking noted 7cm inside incision site to patient's right. purulent drainage noted. sample collected for culture. packed with 0.5" plain packing strip and covered with gauze dressing and paper tape.
Assessment/Plan: Return every day this week for wound packing changes.
Patient is seen the next 10 days for wound repacking with various physicians at the clinic. I am not sure what to code bill here.
Do I code an E/M (99211-215) for each visit?
Should I add 99024 (Post op f/u visit) for each visits with the physician who preformed the c-section?
What about 12021- treatment of superficial wound dehiscence, with packing?
Example:
POD1:
12021(10 FUD) - O90.0: Disruption of Cesarean Delivery Wound; T81.40XA: Infection following a procedure, unspecified, initial encounter
99212,24 - O90.0: Disruption of Cesarean Delivery Wound; T81.40XA: Infection following a procedure, unspecified, initial encounter
99024 - O90.0: Disruption of Cesarean Delivery Wound; T81.40XA: Infection following a procedure, unspecified, initial encounter
MISCGLOBAL - Z39.2: Encounter for routine postpartum follow-up
POD2:
99024 - O90.0: Disruption of Cesarean Delivery Wound; T81.40XA: Infection following a procedure, unspecified, initial encounter
Any assistance is appreciated. Thank you!