cmacpc
Networker
Good Morning:
In need of some help with this case:
This is the fourth surgery since 11/28/16 and has some comorbidities, Vit D dificiency, uncontrolled Diabetes, non compliance.
I have a case that I am trying to code it is as follows:
There is also the adjustment of the exfix which is not dictated on the op report 20693 ( have requested addendum)
I then made a new anterolateral incision. I performed soft tissue dissection. Hemostasis to the nonunion site. I then used multiple curettes and fluoroscopy to aggressively curette out the site of nonunion. After this, I then aspirated about 15-20ml of bone marrow from the superior iliac spine. I did inject this into the non union site. Then closed the wound in layers.
At this point, sterile dressing was applied. Then using fluoroscopy, I compressed the fracture by about 8 mm. The fracture was still very well aligned. She underwent reversal of anesthesia and was transferred out of the OR in stable condition.
I came up with 20693, 38220, or 10021,76000-26 (but what about injecting) not sure if I can bill for takedown of tibia?
Would appreciate any thoughts
TIA: confused:
In need of some help with this case:
This is the fourth surgery since 11/28/16 and has some comorbidities, Vit D dificiency, uncontrolled Diabetes, non compliance.
I have a case that I am trying to code it is as follows:
There is also the adjustment of the exfix which is not dictated on the op report 20693 ( have requested addendum)
I then made a new anterolateral incision. I performed soft tissue dissection. Hemostasis to the nonunion site. I then used multiple curettes and fluoroscopy to aggressively curette out the site of nonunion. After this, I then aspirated about 15-20ml of bone marrow from the superior iliac spine. I did inject this into the non union site. Then closed the wound in layers.
At this point, sterile dressing was applied. Then using fluoroscopy, I compressed the fracture by about 8 mm. The fracture was still very well aligned. She underwent reversal of anesthesia and was transferred out of the OR in stable condition.
I came up with 20693, 38220, or 10021,76000-26 (but what about injecting) not sure if I can bill for takedown of tibia?
Would appreciate any thoughts
TIA: confused: