Deborah h Posted Mon 20th of July, 2015 20:56:07 PM
Procedure; excision of left parietal calcified cephalohematoma;....what diagnosis would you assign if the child is over 1 years of age; 17 month old? Would you code diagnosis 920 or a diagnosis code for calcified bone;if so, please give the diagnosis code? Please explain and give references.
Deborah h Posted Mon 20th of July, 2015 21:01:10 PM
Also, please indicate the cpt code that would be used in this procedure; so please give the cpt code and diagnosis code that would best describes this case.
SuperCoder Answered Tue 21st of July, 2015 02:09:54 AM
If the Cephalohematoma has been caused at the time of the birth, then the most appropriate code would be 767.19.
CPT code: 62140 or 62141 depending on the size of the defect.
Deborah h Posted Tue 21st of July, 2015 07:10:42 AM
There is an age restriction on 767.19; please give the correct diagnosis if the child over a 1 year of age; 17 months.
SuperCoder Answered Wed 22nd of July, 2015 02:05:42 AM
Kindly use ICD 9 code 779.89 and 767.19.
Deborah h Posted Wed 22nd of July, 2015 09:14:31 AM
Should I use 920 secondary, because the dx code 767.19 is for a child over the age of 1 yrs old; even if the dx code is place secondary it would still be denied for age restriction? Please give another code that is equal/same as dx code 767.19 (calcified cephalohematoma)for a child over the age of 1 yrs old.
SuperCoder Answered Thu 23rd of July, 2015 02:02:43 AM
Yes, please use ICD 9 codes 779.89 (primary) and 920 (secondary).
Deborah h Posted Thu 23rd of July, 2015 13:13:37 PM
I'm sorry but 779.89 has the same age restriction as 767.19; please let me know what you would code for a baby over 1 yrs old; for calcified cephalohematoma. Thanks
SuperCoder Answered Fri 24th of July, 2015 02:08:32 AM
I did further research and found out ICD 9 code 677, late effect of complication of pregnancy childbirth, and the puerperium. I think this should solve the problem.
Deborah h Posted Mon 27th of July, 2015 17:44:49 PM
Isn't this diagnosis code 677 referring to the mother's complications during childbirth, not the child's complications, and would it be used on the maternal record and not on the child's record? Please advise and give appropriate diagnosis code.
SuperCoder Answered Tue 28th of July, 2015 02:14:47 AM
Apologies for the previous code that was provided. The code was in fact for the mother and not for the child. Sorry for the same.
You can use ICD 9 code 907.0 which is for late effect of intracranial injury without mention of skull fracture.