Caralee Posted Wed 17th of August, 2016 23:27:29 PM
Please provide help coding "resection of lower portion of the coccyx" surgery. Thank you
SuperCoder Answered Thu 18th of August, 2016 02:43:13 AM
Greetings from SuperCoder!
For resection of lower portion of the coccyx (also known as the tail bone, which is the last part of the back bone), you may choose from the following CPT codes:
- 15920 - Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture
- 15922 - Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure
- 27080 – Coccygectomy, primary
To decide whether 15920, 15922 or 27080 is correct, you must determine the intent of the surgery. The primary focus of the procedures described by 15920 and 15922 is the decubitus ulcer: The coccyx is removed to prevent a recurrence of the ulcer due to continuing irritation.
When the coccyx itself is the primary focus of the surgery, then you should report 27080.
Decubitus ulcer excision codes essentially are skin codes, whereas 27080 is a muscle and bone code. If the coccyx is removed to allow the skin to heal, then integumentary codes (15920 or 15922) should be reported. But if the infection runs along the bone, a musculoskeletal code (27080) is more appropriate.