Coding, Classification and Reimbursement

Mediastinal exploration and debridement and sternal rewiring CPT

  • 1.  Mediastinal exploration and debridement and sternal rewiring CPT

    Posted 7 days ago
    Please Help.

    After induction anesthesia the patient was prepped and draped after which the wound was reopened the sternum had indeed dehisced there was no evident obvious evidence of infection the sternal edges were curetted and freshened and freed from the underlying tissue after which the retractor was placed and the wound was debrided as well as possible the sternum especially on the left appeared devascularized probably because of the LIMA in a patient with many other medical problems the sternal rewiring was done after placing a drain in the wound was closed he was taken recovery end of dictation on the right.


    I was thinking CPT code 21750 but i a coworker thinks 39010 can also be added? any thought



    Thank you

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    Bianca Leal, CCS
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  • 2.  RE: Mediastinal exploration and debridement and sternal rewiring CPT

    Posted 7 days ago

    I also came up with just one code-- 21750 for the exploration of the wound, debridement of and rewiring the dehisced sternum. 



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    Cristina Co
    Facility Outpatient Coder
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  • 3.  RE: Mediastinal exploration and debridement and sternal rewiring CPT

    Posted 4 days ago
    Thank you!

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    Bianca Leal, CCS
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