Tanesha Posted Thu 30th of November, 2017 23:47:07 PM
The port and a piece of tubing was removed by incision. The remaining portion of the tubing and band was removed laparoscopically. I should be able to code both 43887 and 43772, correct? Excerpt of port removal: The site of the previous port in the left upper quadrant was incised, an incision was made and carried down to the port in the port pocket. The port was dissected out of the surrounding tissues and
elevated up, dividing its sutures with scissors. The port was then
elevated up and the tubing was brought out along with the port, and
just proximal to the port tubing connection the port was transected
allowing the tubing going to the band to retract back in the abdominal
cavity. The port and its cut portion of the tubing were passed off the
field as specimen......then the laparoscopic portion was begun for the removal of the band and remainder of the tube.
SuperCoder Answered Mon 04th of December, 2017 01:29:17 AM
There is CCI edit between these two codes. So, you cannot report both codes together. Report only 43772.
Please feel free to write if you have any questions.
Tanesha Posted Mon 04th of December, 2017 08:04:35 AM
Since there were separate components removed by separate methods, I was thinking it would be appropriate to code both and add a modifier, but I guess not. Thank you for responding.
SuperCoder Answered Tue 05th of December, 2017 01:20:07 AM
Yes, you are correct. In this case, you should report both codes together and append modifier 59 to column 2 code i.e. 43887.
Tanesha Posted Wed 06th of December, 2017 08:26:44 AM
I already finalized the acct. with the first answer you gave me unfortunately which was the 43772.
SuperCoder Answered Fri 08th of December, 2017 01:01:45 AM
My apologies for this instance and request you to please keep this information ready with you for all such cases in future.