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We have received several questions regarding the interpretation of Excludes1 notes in ICD-10-CM when the conditions are unrelated to one another.
...If the two c...
A patient who has had a prior CABG presents with unstable angina. He is found to have near total blockage of the saphenous vein bypass graft. The patient is taken emergently to the cardiac catheter...
Coronary ath...
What is the correct ICD-10-PCS code assignment for percutaneous insertion of a central venous line ending in the cavoatrial junction?
...Assign code ...
On the wound care progress note the physician documented that an excisional debridement of the skin of the buttock was carried out. Would this be coded as excisional debridement?
...Yes, assign ...
The physician performed excisional debridement of a coccyx wound down to the fascia and including bone. How should this debridement be coded?
...Assign code ...
In terms of coding excisional debridement, does dissection mean the same as excisional? For example, the provider’s documentation states: “The debridement was sharp using knife dissection.”&n...
No, knife di...
Can you clarify what determines that a debridement in ICD-10-PCS is excisional? The progress note states: “I have debrided the abscess cavity, removing necrotic tissue and bone by sharp debrideme...
Yes, the doc...
The patient developed a nonhealing necrotic ulcer of the right thigh. Using a VersaJet debrider, the physician performed debridement of the skin and subcutaneous tissue. How should this procedure b...
Assign code ...
In the discharge summary the physician describes the patient’s debridement: “The patient underwent a digressive debridement by physical therapy of her sacral decubitus with pulse lavage and wet...
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The patient presents for surgical treatment of a necrotizing soft tissue infection of the left buttock. The provider documented the following in the operative note: “Using a sharp scalpel, I firs...
Assign the f...