January 19, 2023 Question: I thought the global period of debridement of muscle or bone was 10 days. Is that true? Answer: The debridement codes were revised in 2011 and the global period for all codes (11042-11047) was revised to 0 days. *This response is based on the best information available as of 01/19/23. ...
December 15, 2022 Question: If 10 sq. cm subcutaneous tissue is debrided from the right leg and 20 sq. cm is debrided from the left leg, is it coded as 11042 and 11042-59 or 11042 RT and 11042 LT? Answer: If debridement is performed at the same depth of tissue (all subcutaneous tissue) it is...
December 1, 2022 Question: How do we bill for a trauma resuscitation? Are there codes for hanging fluids and packed cells? Can we use the CPR code 92950? Answer: There is no specific code for a trauma resuscitation or for administering fluids or blood products. The CPR code is specifically for providing cardiopulmonary resuscitation; chest...
November 17, 2022 Question: What does “separate procedure” mean when it follows a CPT code description? Answer: Per CPT: Some of the procedures or services listed in the CPT codebook that are commonly carried out as an integral component of a total service or procedure have been identified by the inclusion of the term “separate...
November 3, 2022 Question: How is a laparoscopic pyloroplasty reported? Can I use code 43800, Pyloroplasty? Answer: No, codes without the term laparoscopic in their description are intended as open codes and 43800 is an open code. There is no laparoscopic code for pyloroplasty so an unlisted code 43659 unlisted laparoscopic procedure, stomach, must be...
October 20, 2022 Question: I placed the peritoneal catheter for a neurosurgeon placing a V-P shunt. Do I code 49419, insertion of peritoneal catheter? Answer: No, you are a co-surgeon with the neurosurgeon. Code 62223, creation of a ventriculo-peritoneal shunt, includes both the neurosurgeon’s portion of placing the ventricular catheter and your portion of placing the peritoneal...
October 6, 2022 Question: A vascular surgeon is requested to come to the OR to repair a blood vessel that my surgeon inadvertently nicked during a colectomy. Is he a co-surgeon or assistant on the case? Answer: Neither. The vascular surgeon will report his work, repair of vessel, and you will report yours. *This response...
September 22, 2022 Question: What modifier is used to report a colostomy revision during the global period of the stoma creation? Answer: A modifier 78, return to the OR for a related procedure, in this case a complication of the creation, would be appended. *This response is based on the best information available as of...
September 8, 2022 Question: If mesh is placed for a laparoscopic hernia repair can an unlisted code be reported for the mesh placement? Answer: No. All laparoscopic hernia repair codes include mesh placement so it would not be appropriate to bill for mesh separately. *This response is based on the best information available as of...
August 25, 2022 Question: A major blood vessel was accidentally nicked while a general surgeon was performing a complex case. A vascular surgeon was called in to repair the blood vessel. Since they are different specialties, can the vascular surgeon bill for the repair, even though she is in the same group as the general...
