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If a physician documents “debridement of bone, fascia or muscle,” without specifying “excisional debridement,” can that be reported as excisional debridement? In order for the surgeon to ge...
Coders canno...
A patient with angina was seen for percutaneous coronary intervention. The procedure was aborted after several unsuccessful attempts to cross an occlusion at the right coronary artery. The coronary...
Per the ICD-...
A patient with critical limb ischemia was seen for catheter-based treatment of a lesion in the left superficial femoral artery (SFA). During the procedure, an angled glidewire encountered significa...
Based on the...
A patient with coronary artery disease underwent percutaneous coronary intervention. Angioplasty was performed on the right coronary artery (RCA). However, stent insertion was unsuccessful. Should ...
Yes, the ang...
The patient is a construction worker, who fell 10 feet from scaffolding, striking his head. He was diagnosed with right subdural hematoma, and emergency craniotomy with evacuation of subdural hemat...
The evacuati...
A patient with a chronic subdural hematoma of the right hemisphere underwent drainage via burr hole. The liquefied portion of the hematoma was drained, and a drainage device was left in the subdura...
A burr hole ...
The patient presented with a subdural hematoma, which was successfully treated by placement of a subdural evacuation portal system (SEPS). During the placement of the drainage device, a burr hole w...
The “percu...
The patient presented to the hospital for treatment of subarachnoid hemorrhage and communicating hydrocephalus, and underwent placement of right frontal ventriculostomy catheter. Since the burr hol...
As previousl...
The patient presents for surgical treatment of an acute right basal ganglia intraparenchymal intracerebral hematoma. He underwent percutaneous endoscopic evacuation of an organized solid hematoma i...
“Extirpati...
The patient has a history of subdural hematoma evacuation and cranioplasty due to traumatic brain injury. He was readmitted for surgical treatment of subdural empyema, infection, and wound breakdow...
Assign the f...