Sharon Posted Sun 27th of November, 2011 22:30:47 PM
Please help with diagnosis and procedure codes for this surgery.
PREOPERATIVE DIAGNOSIS: Nasal trauma.
POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE PERFORMED: Removal of nasal stent.
INDICATIONS: The patient had an endotracheal tube placed through the nostrils from posteriorly to stent the nose while healing. It is time to remove the stent.
PROCEDURE: The patient was brought to the operating room, general anesthesia was induced and the patient was kept asleep via mask anesthesia. Once proper level of anesthesia was obtained, under apneic conditions, the suture anterior to the nose was cut. The endotracheal tube was then pushed back into the nose. The suture that was on the back of the endotracheal tube was seen in the pharynx and the tube was removed from the nasopharynx then out the mouth. Mucus was suctioned from the mouth and the patient was again ventilated. The nose was suctioned clear and the patient was woken up and taken back to the neonatal intensive care unit in stable condition. The nose looked much better than it was preoperatively prior to the placement of the stent.
SuperCoder Answered Mon 28th of November, 2011 07:40:46 AM
I didn't get any such code for removal of nasal stent. So it would be unlisted Px, nose (30999). Dx code should be 959.09. However, give some time to update you if I'll get any appropriate code for this.
SuperCoder Answered Tue 29th of November, 2011 14:54:13 PM
There is no code for nasal stent removal. Therefore, you have to code definitely unlisted (30999). Mention one more code similar type of service and bill the $$ amount associated with that code, also mention the reason for the amount that you are claiming by attaching a copy of OP note and a cover letter.