Coding, Classification and Reimbursement

correct code

  • 1.  correct code

    Posted 8 days ago
    WHICH CODE IS CLOSER TO THE PROCEDURE?

    drainage or resection
    supplement or repair
    eye, right or retina, right

    3. INPATIENT HOSPITAL
     Gender: M Age: 43
    Preprocedure diagnosis: detached R retina
    Procedure description: Trans pars plana vitrectomy (TPPV) with synthetic scleral buckle. Made incision in pars plana and used vitreous cutter to suction out all vitreous. Injected balanced saline solution (BSS) to replace vitreous. Sutured scleral buckle, which effectively closed the break. Pt tolerated px well.
    Postprocedure diagnosis: detached R retina


    1.  08T43ZZ        089E3ZZ

    Why not use drainage instead of resection?
    2. 08U03JZ    08UE3JZ       08QE3ZZ
    Why not use repair instead of supplement?        Why use eye, right and not Renita, right?


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    Sheila Canada
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  • 2.  RE: correct code

    Posted 5 days ago
    Check Coding Clinic if you have access.  There are two articles, both result in:
    08B43ZZ ,Excision of right vitreous, percutaneous approach
    The instillation of fluid/gas is inherent and not coded separately.

    I don't find guidance on scleral buckle, but I might  consider
    08UE3JZ Supplement Right Retina with Synthetic Substitute, Percutaneous Approach


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    [Dorothy "Dotsy"] [Baxter] RHIA CCS
    [ICD-10-CM/PCS AHIMA Trainer Certificate holder]
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