Melissa Posted Fri 04th of January, 2013 15:32:54 PM
pt has a nonhelaing post op wound ~998.83~ due to a hx of dicerticular abcess, pt is status post sigmoid resection, Hartman puch, end colostomy. Is appropriate to use with the above code the ~V44.3 or V44.9 or V45~ or do I even need to code the reason for the nonhealing post op wound? Thank u
SuperCoder Answered Mon 07th of January, 2013 22:42:41 PM
The answer is no as these are included under Excludes of 998.83
postoperative conditions in which no complications are present, such as:
artificial opening status (V44.0-V44.9)
Continue to code the wound as non-healing as long as it has no other complications, and it is still non-healing, explains consultant Lynda Dilts-Benson with St. Petersburg, FL-based Reingruber & Co. Consult with the physician about reasons behind the wound's failure to heal - such as diabetic circulatory complications, peripheral vascular disease, etc. If in fact an underlying condition is causing the delay in healing, you must code that condition as well, she adds.