Medical Coding Difficult Operative Reports

Medical Coding Difficult Operative Reports


We had a question come in about coding difficult
Op reports. Actually, they didn’t give us an Op report to use as an example, but this
is what the person have asked about this, was struggling with. What I did was I pulled
out, I found an Op report, it was too big, was taking forever we didn’t want to read
it. So, I just took out the Postop diagnosis in the procedure performed and thought we
would just go with that. Q. For your Postop diagnosis, we had status
post coronary artery bypass grafting and aortic valve replacement. We got a postoperative
course complicated with respiratory insufficiency and chronic renal insufficiency requiring
hemodialysis. The patient developed sternal dehiscence and required rewiring — that’s
everything that happened, it was pertinent to postop. So, what did they do? They did sternal rewiring
using Robicsek technique, insertion of irrigation system catheters with mediastinal and right
pleural chest tube, bilateral myocutaneous pectoralis muscle flap advancements, and insertion
of a new right subclavian vein Quinton catheter for hemodialysis. Now, notice that they said
“new right subclavian vein” — that means the person was on hemodialysis before. Now, key terms, for ICD-9, these are the things
that you want to pull out of that. This person is post CABG, post valve replacement, complication
respiratory insufficiency, chronic renal insufficiency, dialysis status. Now, when you have dialysis
status, when you first read this, you may think, “Oh, he required dialysis, was he started
on dialysis?” Now we know because it says “new right subclavian” catheter was put in.
He was on dialysis before. And sternal dehiscence. Let’s look at the CPT, the part that she was
having problem with was which codes should she use? It was going to be 15732 – muscle,
myocutaneous, or fasciocutaneous flap, head and neck. Then, it gives you what muscles
are involved – sternocleidomastoid, levator scapulae. And the plain English description:
“The physician utilizes a graft of muscle, muscle and skin, or muscle fascia and a skin
flap to repair a defect.” That’s actually what they’re doing. “The flap is prepared
from the donor site,” so whenever you’re doing this type of thing, you’re going to have to
also work on, there will be things that you’ll work up from the removal of the donor tissue
and the repair of the site that the donor tissue was removed from. “The flap is prepared from the donor site
and then rotated to cover the defect” – so, the donor site is just right there by it and
they kind of twist it and lay it over the defect. “The flap is sutured into place and
the donor site is closed with sutures or a skin graft.” So, you got to repair the site
that the graft is being taken from. “If a skin graft is needed to close the donor site,
report this procedure separately. Code 15732 for donor sites on the head and/or neck; 15734
for donor sites on the trunk; 15736 for donor sites on the upper extremities; and 15738
for donor sites on the lower extremities.” OK, that’s where she was having the trouble
with, the complications, what do we do with that, what codes to use? But, you also need
to pay attention to the tube insertions that were done and the hemodialysis catheter when
you go to code this. But that’s how you pull up information, kind of a brief synopsis of
pulling out from the postoperative diagnosis and the procedure performed. When you’re doing
Op reports, you want to look at the preop diagnosis and the postop diagnosis. Often
they’re not going to change, but they can change so you’ll be coding off the postop
diagnosis.

Leave a Reply

Your email address will not be published. Required fields are marked *