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ICD-10 - Skin Necrosis Following Breast Reconstruction
I’m having difficulty with the ICD-10 code assignment. Can KZA provide some guidance? A patient following breast reconstruction presented during the postoperative period with skin necrosis at the incision site.
Incident-to Billing for Medicare
We bill incident-to for Medicare patients in our office for our physician assistants. We don’t have a Otolaryngologist in the office on Friday afternoons but our 5 PAs are in seeing patients. Can we bill their services “incident to” the physician they work for?
Wound Vac Billing
Can a wound vac be billed if a wound is partially sutured and
partially left open?
Thrombolytic Infusion
If a thrombolytic infusion catheter is placed and later in the day it is removed for an interventional procedure and then replaced after the procedure, what is the correct code to report?
10180 vs. 23930
Our surgeon did ORIF of a humeral shaft fracture. A few weeks later, the patient developed a postoperative infection. Diagnosis is 'Infected hematoma, left humerus'.
Excerpt from note:
“I removed all the sutures from the skin and the subcutaneous immediately encountered a large amount of purulent material. This was completely evacuated. Multiple cultures were sent for culture. I debrided starting with the skin down to the level of bone and washed out with a combination of saline…...”
I considered submitting 23930 Incision and drainage, upper arm or elbow; deep abscess or hematoma. CPT 10180 Incision and drainage, complex, postoperative wound infection could also work. Which one would be a better choice here, considering it was a musculoskeletal procedure?
LECA & Lami?
Our practice is slightly confused. In the setting of a LECA corpectomy, is a laminectomy separately reportable? Can KZA provide some clarity for our practice?
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