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code for congenital Diaphragmatic hernia repair for 4 year old

Pediatric Posted Mon 09th of March, 2015 14:27:26 PM

Hello,

What is the correct code to use for the repair of what the doctor is calling a congential diaphramatic hernia repair. The patient is not a neonate, the child is a 4 year old who only had symptoms 4 days prior to surgery-chest pain followed with fever and loss of appetite.
a portion of the colon was also resected with anastomosis,due to protrusion through a small chest defect. 39540, 44140?

thank you.

SuperCoder Answered Tue 10th of March, 2015 02:25:10 AM

Hi Jewel,

Thank you for the query.

As doctor is calling it a Congenital Diaphragmatic Hernia Repair, we do not have the appropriate CPT code for this procedure.

CPT 39540 and 39541 can only be used in case of repair of acute and chronic traumatic Diaphragmatic hernia respectively.

I will suggest that you to ask the doctor once again, if the hernia is traumatic in nature since the patient had symptoms 4 days prior, then you can use from the above mentioned codes.

Yes, you can use CPT 44140 for partial colectomy with anastomosis.

Hope it helps!

Pediatric Posted Tue 10th of March, 2015 08:17:29 AM

Thank you. I spoke with the doctor who states it is not traumatic. I will use the congential code along with 44140. Thanks again.

SuperCoder Answered Tue 10th of March, 2015 09:21:23 AM

Ok.

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