Wiki Diagnosis question - When a provider does

[latonya78]

When a provider does two procedures during the same anesthesia session (adenoidectomy and bilateral myringotomy with tube placement), we select the ASA code based on the procedure with the highest RVG which would be 00170. Which diagnosis codes do we report? Do we report the diagnosis code related to adenoidectomy only or do we report the diagnosis code for the the adenoidectomy and the bilateral myringotomy with tube placement?

 

[LeslieJ]

Diagnosis Question

Hi Latonya,

It's going to depend. Usually you will report the primary Dx & link it with the primary procedure - just the way you'd do it any other time.

When they do 2 procedures, such as myringotomy tubes, sometimes they might do this for adenoitis - so in these cases, it might be okay to select both the ear Dx (such as otitis media) and the adenoidopathy. You can code either/or or both diagnosis codes, in this instant it won't matter.

It would only matter if you had 2 procedures, such as a lesion removal for a nevus on the shoulder and a malignant lesion removed on the nose.

Otherwise you should be okay with either Dx code when it comes to myringotomy & adenoidectomy.

L J